Doctor Name: | MELVINA JACKSON DAVIS |
NPI Number: | 1710382072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 706 |
Business Practice Address: | 401 Sw 30th Ave Fort Lauderdale, FL - 333122012 |
Business Phone Number: | 9547327979 |
Business Fax Number: | 9547927069 |
Mailing Address: | 401 Sw 30th Ave, FORT LAUDERDALE |
State: | FL |
Postal Code: | 333122012 |
Phone Number: | 9547327979 |
Fax Number: | 9547927069 |
NPI Enumeration Date: | 10/29/2014 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |