MYRTLE DAVIS NPI 1447620315

NPI Information

NPI: 1447620315
Provider Name: MYRTLE DAVIS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
6049 BROADWAY
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 427-0193
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Myrtle Davis is an addiction (substance use disorder) counselor in Merrillville, IN. Myrtle Davis NPI is 1447620315. 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:

6049 BROADWAY
MERRILLVILLE, IN
ZIP 46410-619
Phone: (219) 427-0193
Fax: (219) 186-6406

The enumeration date for this NPI number is 10/4/2015 and was last updated on 4/20/2024.

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)	87000026A	INDIANA	Yes
2	104100000X	Social Worker		33000726A	INDIANA	No

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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