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General NPI Number Information
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NPI Number | 1326786179
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Entity Type | Organization
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Legal Business Name | JANICE DAVIS MINISTRIES, INC.
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 25715 102ND PL SE
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City | KENT
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State | WA
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Zip | 98030-6874
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Country | US
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Telephone | 206-886-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 25715 102ND PL SE
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City | KENT
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State | WA
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Zip | 98030-6874
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Country | US
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Telephone | 206-226-8626
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JANICE MELINDA DAVIS LEE
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Credential | MBA
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Telephone | 206-226-8626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #7
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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