| Doctor Name: | MRS. KHADISHA SAUNDERS-DAVENPORT |
| NPI Number: | 1447422860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLPC, CAADC, CAS |
| License Number: | 6401009009 |
| Business Practice Address: | 26522 Van Dyke Ave Center Line, MI - 480151221 |
| Business Phone Number: | 5867594400 |
| Business Fax Number: | |
| Mailing Address: | 29193 Northwestern Highway, Unit 781 SOUTHFIELD |
| State: | MI |
| Postal Code: | 48034 |
| Phone Number: | 3137845560 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2008 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401009009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |