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NPI Code Detail

MEDICARE: MRS. DONIA LYNN DAVIS CPC INTERN

MEDICARE: MRS. DONIA LYNN DAVIS CPC INTERN
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 CounselorCI5095NV

General Provider Information

NPI Number : 1811642721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONIA LYNN DAVIS CPC INTERN
Provider Business Mailing Address
First Line : 732 S 6TH ST STE V
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6948
Country : US
Telephone Number : 310-848-8563
Fax Number :
Provider Business Practice Location Address
First Line : 8215 S EASTERN AVE STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2515
Country : US
Telephone Number : 702-252-8342
Fax Number : 702-252-8349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2022
Last Update Date : 02/24/2025

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