| Doctor Name: | SANDI O. DAVIS |
| NPI Number: | 1093725053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMFT |
| License Number: | 2287 |
| Business Practice Address: | 4859 Shed Rd Ste 500 Bossier City, LA - 711115493 |
| Business Phone Number: | 3187476977 |
| Business Fax Number: | 3187476971 |
| Mailing Address: | 4859 Shed Rd Ste 500, BOSSIER CITY |
| State: | LA |
| Postal Code: | 711115493 |
| Phone Number: | 3187476977 |
| Fax Number: | 3187476971 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 05/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2287 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |