Davis, Gloria Fenner

Davis, Gloria Fenner is an sole proprietor health care provider with primary practice located at 300 N Grace St Suite 228, Rocky Mount NC 27804-5345. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Gloria Fenner can be contacted via phone (252) 908-4120.

Contact Information

Primary practice address
300 N Grace St Suite 228 Rocky Mount NC 27804-5345
Phone: (252) 908-4120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4321 North Carolina

Profile Details

NPI number 1194850776
LBN Legal business name Davis, Gloria Fenner
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jan 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194850776 NPPES
North Carolina MEDICAID 6103387

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