Organization Name: | ASHLEY J DAVIS COUNSELING |
NPI Number: | 1073921078 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHLEY J DAVIS (OWNER) |
Mailing Address: | 124 W 46th St Ste 204 Kearney |
State: | NE US |
Postal Code: | 688478348 |
Phone Number: | 3086272435 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |