Healthcare Provider Details
I. General information
NPI: 1801719547
Provider Name (Legal Business Name): R L DAVIS AND SONS HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3824 MILL MOUNT DR
POWHATAN VA
23139-5049
US
IV. Provider business mailing address
3824 MILL MOUNT DR
POWHATAN VA
23139-5049
US
V. Phone/Fax
- Phone: 804-989-1414
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
LEE
DAVIS
Title or Position: MANAGING MEMBER
Credential:
Phone: 804-300-1993