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NPI Code Detail

MEDICARE: MRS. DEQUANDA LASHAWN DAVIS MA, LPC, CRC

MEDICARE: MRS. DEQUANDA LASHAWN DAVIS MA, LPC, CRC
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
1171M00000XCase Manager/Care Coordinator
2101YP2500XProfessional Counselor6451023155MI
3106S00000XBehavior Technician
4225C00000XRehabilitation Counselor719806

General Provider Information

NPI Number : 1487231064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEQUANDA LASHAWN DAVIS MA, LPC, CRC
Provider Business Mailing Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-5561
Fax Number : 810-496-5767
Provider Business Practice Location Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-5561
Fax Number : 810-496-5767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2021
Last Update Date : 01/23/2026

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