1063760726 NPI number — BRITTANY DAVIS PH.D. MFT, LCPC

NPI Number: 1063760726
Health Care Provider/Practitioner: BRITTANY DAVIS PH.D. MFT, LCPC

NPI Number : 1063760726 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063760726",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "BRITTANY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D. MFT, LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2909 LITTLE CURRENT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89086-1579",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-743-0243",
    "MailingAddressFaxNumber": "702-921-0757",
    "FirstLinePracticeLocationAddress": "2780 HOMESTEAD RD STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAHRUMP",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89048-5757",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-505-3855",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/28/2012",
    "LastUpdateDate": "03/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "93542",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "CP5126",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}