EBONY L DAVIDSON


Address: 629 Jewett Ave, Bridgeport, CT 06606-2836
Phone: 8502642100

EBONY L DAVIDSON (NPI# 1063799187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063799187
Entity Type Individual
Full Name EBONY L DAVIDSON
Credential LPC
Practice Address 629 Jewett Ave
Bridgeport
CT 06606-2836
Practice Telephone 8502642100
Enumeration Date 2011-11-03
Last Update Date 2020-02-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
3765 CT Behavioral Health & Social Service Providers

Office Location

Street Address 629 JEWETT AVE
City BRIDGEPORT
State CT
Zip Code 06606-2836

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NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
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1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568006526 Wendy Jones Counselor 297 Bradley St, Bridgeport, CT 06610-1911 2019-11-03
1881242485 Jared Maggi Counselor 3250 Fairfield Ave Apt 212, Bridgeport, CT 06605-3271 2019-08-28
1396202289 Joseph A Graziano Jr. Counselor 174 University Ave, Bridgeport, CT 06604-5728 2019-02-27
1780130674 Gary Vertula Counselor 260 Robin St, Bridgeport, CT 06606-4440 2016-08-30
1275983512 Janelle Titus Counselor 142 Wade St, Bridgeport, CT 06604-1817 2016-06-17
1558717181 Catherine Mcauliffe Counselor 1000 Lafayette Blvd Fl 11, Bridgeport, CT 06604-4725 2016-05-12
1326408485 Elisabeth Parker Counselor 1150 Fairfield Ave, Bridgeport, CT 06605-1118 2016-03-02
1831518513 Yvonne Booy Counselor 46 Albion Street, Bridgeport, CT 06605 2014-04-10
1609292648 Margaret Creeth Counselor 475 Clinton Avenue, Fsw Inc, Bridgeport, CT 06605-1700 2014-03-14
1548682560 Rebecca Fiest Counselor 175 Ridgeway Dr, Bridgeport, WV 26330-1176 2014-01-10
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Competitor

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City BRIDGEPORT
Zip Code 06606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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