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NPI Code Detail

MEDICARE: MR. WILLIAM WESLEY DAVIS JR. LPC

MEDICARE:  MR. WILLIAM WESLEY DAVIS JR. LPC
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
1101YP2500XProfessional Counselor90747TX

General Provider Information

NPI Number : 1154204972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM WESLEY DAVIS JR. LPC
Provider Business Mailing Address
First Line : 4040 N CENTRAL EXPY STE 210
Second Line :
City : DALLAS
State : TX
Zip : 75204-3868
Country : US
Telephone Number : 469-387-6379
Fax Number :
Provider Business Practice Location Address
First Line : 4040 N CENTRAL EXPY STE 210
Second Line :
City : DALLAS
State : TX
Zip : 75204-3868
Country : US
Telephone Number : 469-387-6379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2025
Last Update Date : 07/29/2025

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Directions to “ MR. WILLIAM WESLEY DAVIS JR. LPC” Practice Location

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