DEBORAH LYNN DAVIS LPCC LMAC NPI 1083646988

NPI Information

NPI: 1083646988
Provider Name: DEBORAH LYNN DAVIS, LPCC, LMAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2424 32ND AVE S
SUITE 202
GRAND FORKS, ND
ZIP 58201
Phone: (701) 746-6336
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Deborah Lynn Davis, LPCC, LMAC is a professional counselor in Grand Forks, ND. Deborah Lynn Davis, LPCC, LMAC NPI is 1083646988. 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:

2424 32ND AVE S
SUITE 202
GRAND FORKS, ND
ZIP 58201-545
Phone: (701) 746-6336
Fax: (701) 772-1030

The enumeration date for this NPI number is 7/7/2006 and was last updated on 2/28/2024.

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)	1180	NORTH DAKOTA	No
2	171M00000X	Case Manager/Care Coordinator				No
3	101YP2500X	Counselor	Professional	881-7-1-16-176	NORTH DAKOTA	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	054519	MEDICAID	NORTH DAKOTA
2	9G411DA	OTHER	MINNESOTA	BCBS MN PROVIDER NUMBER
3	012197	OTHER	NORTH DAKOTA	BCBS ND PROVIDER NUMBER

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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