Davis, Mary Linda

Davis, Mary Linda is an individual health care provider with primary practice located at 1301 Wilson Rd , Little Rock AR 72205-6659. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Mary Linda can be contacted via phone (501) 225-0576.

Contact Information

Primary practice address
1301 Wilson Rd Little Rock AR 72205-6659
Phone: (501) 225-0576
Fax: (501) 225-6789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R13457 Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 764-C Arkansas

Profile Details

NPI number 1154343499
LBN Legal business name Davis, Mary Linda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 12th, 2021 - about 5 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 1154343499 NPPES
Other 211768 VALUE OPTIONS
Other 278210000 VALUE OPTIONS
Other 093594 VALUE OPTIONS
Other 1054808 VALUE OPTIONS

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