Davis, Mary Louise

Davis, Mary Louise is an sole proprietor health care provider with primary practice located at 2514 North Broad Street , Philadelphia PA 19133. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davis, Mary Louise can be contacted via phone (215) 899-8915.

Contact Information

Primary practice address
2514 North Broad Street Philadelphia PA 19133
Phone: (215) 899-8915
Fax: (215) 226-1278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1740662626
LBN Legal business name Davis, Mary Louise
Credentials MHS, CCFC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2015
Last updated Jun 26th, 2015 - about 11 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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