MEDICARE: VICTORIA NOELLE DAVIS LMHC

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	101YM0800X	Mental Health Counselor	LH61507632	WA

General Provider Information

NPI Number	:	1205556131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA NOELLE DAVIS LMHC

Provider Business Mailing Address
First Line	:	1909 ISLAND VIEW PL
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-2427
Country	:	US
Telephone Number	:	540-241-4489
Fax Number	:

Provider Business Practice Location Address
First Line	:	1909 ISLAND VIEW PL
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-2427
Country	:	US
Telephone Number	:	540-241-4489
Fax Number	:

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

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	05/04/2026

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