Davis, Michelle

Davis, Michelle is an individual health care provider with primary practice located at 4323 Jefferson Ave , Texarkana AR 71854-1515. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Davis, Michelle can be contacted via phone (870) 773-0700.

Contact Information

Primary practice address
4323 Jefferson Ave Texarkana AR 71854-1515
Phone: (870) 773-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X P1802016 Arkansas

Profile Details

NPI number 1053789263
LBN Legal business name Davis, Michelle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2015
Last updated Feb 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053789263 NPPES
Arkansas MEDICAID 225255795

Popular Providers