MEDICARE: JOSEPH CLINTON DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	#4948	LA
2	225400000X	Rehabilitation Practitioner
3	101YP2500X	Professional Counselor	#4948	LA

General Provider Information

NPI Number	:	1093940017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH CLINTON DAVIS

Provider Business Mailing Address
First Line	:	589 UNADILLA ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-1239
Country	:	US
Telephone Number	:	318-446-4141
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 OLIVE ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71104-2312
Country	:	US
Telephone Number	:	318-446-4141
Fax Number	:	318-446-4141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	07/21/2022

Similar Medicare Providers

1508612565 — MRS. MELISSA THOMSEN MHS
Practice Location Address:

520 OLIVE ST STE A200
SHREVEPORT, LA
71104-2312

Practice Phone: 916-764-7868
Practice Fax:

1063609782 — ROSS GITHENS LAC 1144
Practice Location Address:

520 OLIVE ST
SHREVEPORT, LA
71104-2312

Practice Phone: 318-459-8922
Practice Fax:

1336438746 — VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
Practice Location Address:

520 OLIVE ST , STE. A203
SHREVEPORT, LA
71104-2312

Practice Phone: 318-425-0618
Practice Fax: 318-429-7518

1497015804 — WINNIE BRUTUS BIEN AIME MA, LPC-S
Practice Location Address:

520 OLIVE ST STE A200
SHREVEPORT, LA
71104-2312

Practice Phone: 337-221-4596
Practice Fax:

1124389838 — VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
Practice Location Address:

520 OLIVE ST
SHREVEPORT, LA
71104-2312

Practice Phone: 318-429-7500
Practice Fax: 318-429-7518

1063887594 — PATRICIA CARR
Practice Location Address:

520 OLIVE ST , STE. 201
SHREVEPORT, LA
71104-2312

Practice Phone: 318-429-7500
Practice Fax: 318-227-6179

Directions to “ JOSEPH CLINTON DAVIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.