STACIE DAVIS LLC NPI 1982178257

NPI Information

NPI: 1982178257
Provider Name: STACIE DAVIS LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
501 CEDAR RD STE 2C
CHESAPEAKE, VA
ZIP 23322
Phone: (757) 574-0303
Get Directions

STACIE DAVIS LLC is a mental health (including community mental health center) clinic center in Chesapeake, VA. STACIE DAVIS LLC NPI is 1982178257. The provider is registered as an organization entity type.

The provider's business location address is:

501 CEDAR RD STE 2C
CHESAPEAKE, VA
ZIP 23322-527
Phone: (757) 574-0303
Fax: (757) 574-0102

The provider's authorized official is Stacie Davis .
The authorized official title is Owner/operator and has the following contact phone number (757) 574-0303.

The enumeration date for this NPI number is 1/19/2019 and was last updated on 1/19/2019.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	1790860559	MEDICAID	VIRGINIA

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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