Davis, Juanita

Davis, Juanita is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30046-8444. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davis, Juanita can be contacted via phone (678) 209-2394.

Contact Information

Primary practice address
175 Gwinnett Dr Lawrenceville GA 30046-8444
Phone: (678) 209-2394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CSW003751 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CSW003751 Georgia

Profile Details

NPI number 1508301458
LBN Legal business name Davis, Juanita
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2017
Last updated Jan 2nd, 2017 - about 9 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.

Request for update

Popular Providers