Doctor Name: | MS. MELANEY DAVIS- MCSHAN |
NPI Number: | 1083891048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 12959 |
Business Practice Address: | 240 Belle St Sealy, TX - 774742727 |
Business Phone Number: | 9798852400 |
Business Fax Number: | 9798853400 |
Mailing Address: | 403 Fowlkes St, SEALY |
State: | TX |
Postal Code: | 774742727 |
Phone Number: | 9798857392 |
Fax Number: | 9798853400 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 12959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |