NPI Code Details Logo

NPI 1033047618

NPI 1033047618 : DAVIS THE COLLECTIVE , L.C. : BALTIMORE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1033047618
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DAVIS THE COLLECTIVE , L.C. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/12/2026
-----------------------------------------------------
    Last Update Date     |    05/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1442 CEDARCROFT RD 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21239-2003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-900-3429
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1442 CEDARCROFT RD 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21239-2003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-900-3429
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER
-----------------------------------------------------
    Name                 |     KYRA  CRAFTON 
-----------------------------------------------------
    Credential           |    LCSW-C
-----------------------------------------------------
    Telephone            |    410-900-3429
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.