MR. WADE WILLIAM DAVIS MFT NPI 1669505863

NPI Information

  • NPI: 1669505863
  • Provider Name: MR. WADE WILLIAM DAVIS, MFT
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 3351 PRIMERA AVE APT 6
    LOS ANGELES, CA
    ZIP 90068
  • Phone: (323) 851-7573

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NPI Details

MR. Wade William Davis, MFT is a marriage family therapist in Los Angeles, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MR. Wade William Davis, MFT NPI is 1669505863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3351 PRIMERA AVE APT 6
LOS ANGELES, CA
ZIP 90068-558
Phone: (323) 851-7573
Fax: (323) 665-7903

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.

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
1106H00000XMarriage & Family TherapistMFT31550CALIFORNIAYes

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
1ZZZ53700ZOTHERCALIFORNIABLUE OF CALIFORNIA

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: 11/21/2025

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