Demarcus C Davis in Bartlett - Mental Health
Demarcus C Davis - NPI 1619019007
Demarcus C Davis is a Mental Health in Bartlett, Tennessee. Demarcus C Davis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Demarcus C Davis is 1619019007. The last update date is 2010-12-03.
Demarcus C Davis's current location address is 3340 Nicholas Cv, Bartlett, Tennessee. You can contact this provider via phone number 9013598330 and fax number 9017574212. The mailing address for Demarcus C Davis is 3340 Nicholas Cv, Bartlett, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demarcus C Davis |
|---|---|
| Address | 3340 Nicholas Cv, Bartlett, Tennessee |
| Phone Number | 9013598330 |
| Fax Number | 9017574212 |
| Sole Proprietor | Y |
| Credentials | LPC-MHSP |
NPI Number Detail
| NPI Number | 1619019007 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2010-12-03 |
Provider Mailing Address Detail
| Address | 3340 Nicholas Cv |
|---|---|
| City | Bartlett |
| State | Tennessee (TN) |
| Post Code | 381343894 |
| Phone Number | 9013598330 |
| Fax Number | 9017574212 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2127 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11993318 | TN | CAQH | |
| 1520532 | TN | -- |
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What is the unique identifier code issued to Demarcus C Davis by the Centers for Medicare & Medicaid Services (CMS)?
The Demarcus C Davis has been assigned the NPI (National Provider Identifier) 1619019007. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Demarcus C Davis located?
The Demarcus C Davis is located at 3340 Nicholas Cv, Bartlett, TN 381343894.
What is the Demarcus C Davis's specialty and taxonomy code?
The Demarcus C Davis's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Demarcus C Davis receive its 1619019007 assignment from the Centers for Medicare & Medicaid Services?
The Demarcus C Davis was assigned its 1619019007 by the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the information pertaining to Demarcus C Davis most recently updated or revised?
The details related to Demarcus C Davis, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-03.