| Doctor Name: | DONNA DAVIS |
| NPI Number: | 1275954935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLPC |
| License Number: | 2013044485 |
| Business Practice Address: | 400 E 6th St Parkville, MO - 641523703 |
| Business Phone Number: | 8165874100 |
| Business Fax Number: | 8165876691 |
| Mailing Address: | 400 E 6th St, PARKVILLE |
| State: | MO |
| Postal Code: | 641523703 |
| Phone Number: | 8165874100 |
| Fax Number: | 8165876691 |
| NPI Enumeration Date: | 12/26/2013 |
| NPI Last Update Date: | 12/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2013044485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |