MEDICARE: NICOLE LEANNE DAVIS LMHC, SUDP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101YM0800X	Mental Health Counselor	MC60171023	WA

General Provider Information

NPI Number	:	1740585165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE LEANNE DAVIS LMHC, SUDP

Provider Business Mailing Address
First Line	:	1306 QUEEN ANNE AVE N APT 12
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-5709
Country	:	US
Telephone Number	:	602-326-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 1ST AVE N # 210
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2301
Country	:	US
Telephone Number	:	206-594-0574
Fax Number	:

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

Provider Enumeration Date	:	01/14/2011
Last Update Date	:	01/18/2023

Similar Medicare Providers

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1588413579 — DR. SARA SZCZEPANSKI PHD
Practice Location Address:

2120 1ST AVE N STE 306
SEATTLE, WA
98109-2301

Practice Phone: 360-559-0205
Practice Fax:

1104769876 — SARA SZCZEPANSKI COUNSELING PLLC
Practice Location Address:

2120 1ST AVE N STE 306
SEATTLE, WA
98109-2301

Practice Phone: 360-559-0205
Practice Fax:

1548521735 — STEPHANIE KARDOS LAC., LMT
Practice Location Address:

2120 1ST AVE N # B10
SEATTLE, WA
98109-2301

Practice Phone: 206-414-8115
Practice Fax:

1871925560 — PATRICIA A GALLANT DPT
Practice Location Address:

2120 1ST AVE N STE 109
SEATTLE, WA
98109-2301

Practice Phone: 206-590-2400
Practice Fax: 206-445-7700

1922490309 — SARA DALE
Practice Location Address:

2120 1ST AVE N # 311
SEATTLE, WA
98109-2301

Practice Phone: 206-257-9471
Practice Fax:

Directions to “ NICOLE LEANNE DAVIS LMHC, SUDP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.