| Doctor Name: | MRS. ROXANNE DAVIS PRATT |
| NPI Number: | 1053534834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC, LMHC, MPH |
| License Number: | LPC003112 |
| Business Practice Address: | 7313 Merchant Ct Suite L Lakewood Ranch, FL - 342408437 |
| Business Phone Number: | 9413503009 |
| Business Fax Number: | 6784266620 |
| Mailing Address: | 7313 Merchant Ct, Suite L LAKEWOOD RANCH |
| State: | FL |
| Postal Code: | 342408437 |
| Phone Number: | 9413503009 |
| Fax Number: | 6784266620 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC003112 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |