Shadana Davis, Psyd Pllc

LBN: Shadana Davis, Psyd Pllc
Shadana Davis, Psyd Pllc is an health care organization with primary practice located at 100 W Evergreen Ave , Philadelphia PA 19118-3814. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Shadana Davis, Psyd Pllc can be contacted via phone (267) 282-1175, or through Davis, Shadana via phone (267) 250-0466.

Contact Information

Primary practice address
100 W Evergreen Ave Philadelphia PA 19118-3814
Phone: (267) 282-1175
Fax: (267) 282-1084
Website:
Map and Directions
Authorized official contact:
Name: Davis, Shadana PSYD
Phone: (267) 250-0466

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1912531633
LBN Legal business name Shadana Davis, Psyd Pllc
DBA Doing business as
Authorized official Davis, Shadana PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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