MEDICARE: MS. KARA DAVIS MA, LLPC

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	101Y00000X	Counselor	6451024815	MI

General Provider Information

NPI Number	:	1174481634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARA DAVIS MA, LLPC

Provider Business Mailing Address
First Line	:	2425 S 11TH ST STE A
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-2113
Country	:	US
Telephone Number	:	269-375-4363
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 S 11TH ST STE A
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-2113
Country	:	US
Telephone Number	:	269-375-4363
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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