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NPI Code Detail

MEDICARE: LINETTE DAVIS LMHC

MEDICARE: LINETTE 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
1101YM0800XMental Health CounselorMH23575FL
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306188743
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINETTE DAVIS LMHC
Provider Business Mailing Address
First Line : 6006 BEAU LN
Second Line :
City : ORLANDO
State : FL
Zip : 32808-3215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4651 SALISBURY RD STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6187
Country : US
Telephone Number : 347-363-1646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2013
Last Update Date : 11/29/2024

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