| Organization Name: | AMELIA DAVENPORT, CONCINNITY GROUP |
| NPI Number: | 1043421480 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMELIA S. DAVENPORT (OWNER) |
| Mailing Address: | 1104 Se Graham Ridge Rd Blue Springs |
| State: | MO US |
| Postal Code: | 640144101 |
| Phone Number: | 8162250562 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 01/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC-2004033828 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |