MEDICARE: QUIANA DAVIS

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	6401016716	MI

General Provider Information

NPI Number	:	1952943565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUIANA DAVIS

Provider Business Mailing Address
First Line	:	7201 W SAGINAW HWY STE 202C
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-1127
Country	:	US
Telephone Number	:	517-343-1106
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 W SAGINAW HWY STE 202C
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-1127
Country	:	US
Telephone Number	:	517-343-1106
Fax Number	:

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

Provider Enumeration Date	:	10/15/2019
Last Update Date	:	09/04/2025

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Directions to “ QUIANA DAVIS ” Practice Location

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