Davis, Marisa Yvette

Davis, Marisa Yvette is an sole proprietor health care provider with primary practice located at 1131 Queensborough Blvd Ste 100 , Mount Pleasant SC 29464-5430. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Davis, Marisa Yvette can be contacted via phone (919) 924-3969.

Contact Information

Primary practice address
1131 Queensborough Blvd Ste 100 Mount Pleasant SC 29464-5430
Phone: (919) 924-3969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 7161 South Carolina

Profile Details

NPI number 1881041911
LBN Legal business name Davis, Marisa Yvette
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2016
Last updated Sep 29th, 2023 - about 3 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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