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NPI Code Detail

MEDICARE: HEATHER DAVIDSON

MEDICARE:   HEATHER  DAVIDSON
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 CounselorALC05232AL

General Provider Information

NPI Number : 1598650533
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER DAVIDSON
Provider Business Mailing Address
First Line : 175 EVELYN ST
Second Line :
City : TRUSSVILLE
State : AL
Zip : 35173-4020
Country : US
Telephone Number : 423-883-1291
Fax Number :
Provider Business Practice Location Address
First Line : 1109 E PARK DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-2578
Country : US
Telephone Number : 205-207-5688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 06/10/2025

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Directions to “ HEATHER DAVIDSON ” Practice Location

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