NPI Code Detail JSON Logo

1457510885 NPI number — RENEE E DAVIS LADC, LMHC

NPI Number: 1457510885
Health Care Provider/Practitioner: RENEE E DAVIS LADC, LMHC

Information about “1457510885” NPI (RENEE E DAVIS LADC, LMHC) exists in 1457510885 in HTML format HTML  |  1457510885 in plain Text format TXT  |  1457510885 in PDF (Portable Document Format) PDF  |  1457510885 in an XML format XML  formats.

NPI Number : 1457510885 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457510885",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "RENEE",
    "MiddleName": "E",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LADC, LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "THAYER",
    "OtherFirstName": "RENEE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LADC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "35 NEWPORT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW LONDON",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03257-5413",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-865-1321",
    "MailingAddressFaxNumber": "603-865-1327",
    "FirstLinePracticeLocationAddress": "2 BUCK RD STE J",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HANOVER",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03755-2715",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-865-1321",
    "PracticeLocationAddressFaxNumber": "603-865-1327",
    "EnumerationDate": "06/02/2008",
    "LastUpdateDate": "01/04/2022",
    "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": "2261",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "1067",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "151.0127296",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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