Doctor Name: | HEATHER ANNE DAVIS |
NPI Number: | 1023447273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC-5022 |
Business Practice Address: | 3043 S Meridian Rd Suite 125 Meridian, ID - 836427922 |
Business Phone Number: | 2088840033 |
Business Fax Number: | 2088845258 |
Mailing Address: | 2952 S Appia Ave, MERIDIAN |
State: | ID |
Postal Code: | 836427951 |
Phone Number: | 2088904451 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2013 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-5022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |