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General NPI Number Information
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NPI Number | 1346781333
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Entity Type | Individual
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Provider Name | MICHELLE DAVIS MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1515 MARKET ST STE 1200
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1932
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Country | US
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Telephone | 484-841-9558
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Fax |
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Provider Business Mailing Address
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Address Line | 150 N RADNOR CHESTER RD STE 200
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City | WAYNE
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State | PA
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Zip | 19087-5252
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Country | US
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Telephone | 484-841-9558
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC0011796
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC013697
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC16515
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License Number State | MD
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