MEDICARE: JOANN GAYLE DAVIS MS, LPC, NCC

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	101YP2500X	Professional Counselor	84135	TX

General Provider Information

NPI Number	:	1396680914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN GAYLE DAVIS MS, LPC, NCC

Provider Business Mailing Address
First Line	:	5901 COUNTY ROAD 277 APT 1107
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-3201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 N STONEBRIDGE DR STE 230
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-7562
Country	:	US
Telephone Number	:	469-343-0640
Fax Number	:

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

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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