Davis, Kristie None

Davis, Kristie None is an sole proprietor health care provider with primary practice located at 123 Dorothy Dr , Charleston SC 29414-9198. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Davis, Kristie None can be contacted via phone (843) 793-8324.

Contact Information

Primary practice address
123 Dorothy Dr Charleston SC 29414-9198
Phone: (843) 793-8324
Fax: (843) 871-8579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4267 South Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4267 South Carolina

Profile Details

NPI number 1427358308
LBN Legal business name Davis, Kristie None
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2010
Last updated Jun 10th, 2019 - about 7 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 1427358308 NPPES
South Carolina MEDICAID AD16DO

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