PHYLLIS ERICSON-DAVIS PHD NPI 1114323367

NPI Information

NPI: 1114323367
Provider Name: PHYLLIS ERICSON-DAVIS, PHD
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
101 SEATTLE SLEW LN
GREENVILLE, SC
ZIP 29617
Phone: (864) 449-4867
Get Directions

Phyllis Ericson-davis, PHD is a pastoral counselor in Greenville, SC. Phyllis Ericson-davis, PHD NPI is 1114323367. 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:

101 SEATTLE SLEW LN
GREENVILLE, SC
ZIP 29617-901
Phone: (864) 449-4867

The enumeration date for this NPI number is 11/17/2014 and was last updated on 11/19/2014.

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)			No
2	101YM0800X	Counselor	Mental Health			No
3	101YP1600X	Counselor	Pastoral	#75132117	WASHINGTON	Yes
4	101YP2500X	Counselor	Professional			No
5	103TB0200X	Psychologist	Cognitive & Behavioral			No
6	103TC1900X	Psychologist	Counseling			No
7	103TC2200X	Psychologist	Clinical Child & Adolescent			No
8	103TF0000X	Psychologist	Family			No
9	103TF0200X	Psychologist	Forensic			No
10	103TH0100X	Psychologist	Health Service			No
11	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			No
12	103TP0814X	Psychologist	Psychoanalysis			No
13	103TP2701X	Psychologist	Group Psychotherapy			No
14	103TS0200X	Psychologist	School			No
15	106H00000X	Marriage & Family Therapist				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: 11/14/2023

NPI Synchronization or Removal

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