LAURA IRENE DAVIS NPI 1568085876

NPI Information

NPI: 1568085876
Provider Name: LAURA IRENE DAVIS

Doing Business As: CONQUERING WALLS COUNSELING AGENCY, LLC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2020 BRICE RD STE 110
REYNOLDSBURG, OH
ZIP 43068
Phone: (614) 706-5099
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LAURA IRENE DAVIS is an adult mental health clinic center in Reynoldsburg, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LAURA IRENE DAVIS NPI is 1568085876. The provider is registered as an organization entity type.
The provider Is Doing Business As Conquering Walls Counseling Agency, Llc.

The provider's business location address is:

2020 BRICE RD STE 110
REYNOLDSBURG, OH
ZIP 43068-448
Phone: (614) 706-5099
Fax: (614) 869-2397

The provider's authorized official is Laura I Davis-perry .
The authorized official title is Founder/owner and has the following contact phone number (614) 586-3830.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 8/3/2021.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			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	I.1700380	OTHER	OHIO	LISW-SUPV

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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