Healthcare Provider Details

I. General information

NPI: 1013532688
Provider Name (Legal Business Name): CHELSI DAVIS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 PIONEERS BLVD STE 218
LINCOLN NE
68502-5963
US

IV. Provider business mailing address

3201 PIONEERS BLVD STE 218
LINCOLN NE
68502-5963
US

V. Phone/Fax

Practice location:
  • Phone: 402-235-8181
  • Fax:
Mailing address:
  • Phone: 402-235-8181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: CHELSI DAVIS
Title or Position: OWNER
Credential: PHD
Phone: 402-235-8181