Davis, Michael D

Davis, Michael D is an individual health care provider with primary practice located at 825 W Linebaugh Ave , Tampa FL 33612-7855. He recently has 3 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 / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Davis, Michael D can be contacted via phone (813) 931-5560.

Contact Information

Primary practice address
825 W Linebaugh Ave Tampa FL 33612-7855
Phone: (813) 931-5560
Fax: (813) 932-4960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5631 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5631 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5631 Florida

Profile Details

NPI number 1295238996
LBN Legal business name Davis, Michael D
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2018
Last updated Mar 9th, 2018 - 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 1295238996 NPPES
Florida Other MH5631 FLORIDA DEPARTMENT OF HEALTH

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