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JESSIE DAVIS LLC NPI 1821741968


NPI Information

NPI: 1821741968
Provider Name: JESSIE DAVIS, LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
103 E 2ND ST APT 3
FREDERICK, MD
ZIP 21701
Phone: (301) 606-2858
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JESSIE DAVIS, LLC is an adolescent and children mental health clinic center in Frederick, MD. 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. JESSIE DAVIS, LLC NPI is 1821741968. The provider is registered as an organization entity type.

The provider's business location address is:

103 E 2ND ST APT 3
FREDERICK, MD
ZIP 21701-200
Phone: (301) 606-2858

The provider's authorized official is Jessie Davis .
The authorized official title is Therapist and has the following contact phone number (301) 606-2858.

The enumeration date for this NPI number is 1/29/2022 and was last updated on 1/29/2022.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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

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