JACQUETTA C. DAVIS LPC NPI 1265802938

NPI Information

NPI: 1265802938
Provider Name: JACQUETTA C. DAVIS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
856 TEXAS AVE
SHREVEPORT, LA
ZIP 71101
Phone: (318) 429-6977
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Jacquetta C. Davis, LPC is a mental health counselor in Shreveport, LA. Jacquetta C. Davis, LPC NPI is 1265802938. 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:

856 TEXAS AVE
SHREVEPORT, LA
ZIP 71101-400
Phone: (318) 429-6977

The enumeration date for this NPI number is 10/6/2015 and was last updated on 12/8/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	101YM0800X	Counselor	Mental Health	5769	LOUISIANA	No

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	1265802938	MEDICAID	LOUISIANA

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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