Shanesha Davis is a Mental Health in Detroit, Michigan. Shanesha Davis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Shanesha Davis is 1790906931. The last update date is 2007-07-08.
Shanesha Davis's current location address is 6309 Mack Ave, Detroit, Michigan. You can contact this provider via phone number 3139214700 and fax number 3139214125. The mailing address for Shanesha Davis is 6309 Mack Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanesha Davis |
|---|---|
| Address | 6309 Mack Ave, Detroit, Michigan |
| Phone Number | 3139214700 |
| Fax Number | 3139214125 |
| Sole Proprietor | N |
| Credentials | BA |
NPI Number Detail
| NPI Number | 1790906931 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6309 Mack Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482072302 |
| Phone Number | 3139214700 |
| Fax Number | 3139214125 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
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 |
|---|---|---|---|
| D120765765972 | MA | BA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shanesha Davis by the Centers for Medicare & Medicaid Services?
The Shanesha Davis has been issued the NPI (National Provider Identifier) 1790906931 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shanesha Davis?
The Shanesha Davis is situated at 6309 Mack Ave, in the city of Detroit, state of MI, with the zip code 482072302.
What is Shanesha Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shanesha Davis's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
When did the Shanesha Davis receive its 1790906931?
The Shanesha Davis was issued its 1790906931 on 2007-05-02, which is the date when the organization was assigned this unique identifier.
When was the Shanesha Davis's information last updated?
The Shanesha Davis's information was last updated on 2007-07-08.
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