LINDSEY DAVIS SAC-IT 18487-130 NPI 1184112567

NPI Information

NPI: 1184112567
Provider Name: LINDSEY DAVIS, SAC-IT 18487-130
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2357 W MASON ST
GREEN BAY, WI
ZIP 54303
Phone: (920) 337-6740
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Lindsey Davis, SAC-IT 18487-130 is an addiction (substance use disorder) counselor in Green Bay, WI. Lindsey Davis, SAC-IT 18487-130 NPI is 1184112567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2357 W MASON ST
GREEN BAY, WI
ZIP 54303-708
Phone: (920) 337-6740

The enumeration date for this NPI number is 5/1/2018 and was last updated on 5/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18487-130	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42030700	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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