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JACQUELINE YVETTER SMITH DAVIS NPI 1235779406


NPI Information

NPI: 1235779406
Provider Name: JACQUELINE YVETTER SMITH DAVIS
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
16609 ARCHDALE ST
DETROIT, MI
ZIP 48235
Phone: (313) 974-0175
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Jacqueline Yvetter Smith Davis is a counselor in Detroit, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jacqueline Yvetter Smith Davis NPI is 1235779406. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16609 ARCHDALE ST
DETROIT, MI
ZIP 48235-416
Phone: (313) 974-0175

The enumeration date for this NPI number is 1/15/2020 and was last updated on 1/15/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor640100361MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.