STEFANIE ANN DAVIS (NPI# 1245629393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245629393 |
| Entity Type | Individual |
| Full Name | STEFANIE ANN DAVIS |
| Credential | MS, LMHC |
| Practice Address |
3754 W Indian Trail Rd Spokane WA 99208-4736 |
| Practice Telephone | 5095593100 |
| Practice Fax Number | 5093287582 |
| Mailing Telephone | 5095593132 |
| Mailing Fax Number | 5093287582 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2020-01-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60722538 | WA | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1245629393 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9631 N Nevada St Ste 202, Spokane, WA 992181197 | 5094671100 | 5094680173 |
| 7 S Howard St Ste 321, Spokane, WA 992013816 | 5098384128 | 5098384816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922636992 | Stefanie Katrina Davis | Student in an Organized Health Care Education/Training Program | 343 Windermere Blvd, Amherst, NY 14226-3044 | 2020-03-27 |
| 1619343597 | Stefanie Davis | Nurse Practitioner | 210 Henderson Ave, Ridley Park, PA 19078-1526 | 2015-08-14 |
| 1740837319 | Stefanie Garrett Davis | Respiratory Therapist, Registered | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2019-08-19 |
| 1225592520 | Stefanie Davis | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2019-01-31 |
| 1396082368 | Stefanie Janelle Davis | Specialist | 8000 Corporate Center Dr, 212, Charlotte, NC 28226-4464 | 2013-01-11 |
| 1144585712 | Stefanie Taphouse Davis | Physical Therapist | 501 Forest Ln, Suite A, Clemson, SC 29631-2621 | 2012-07-10 |
| 1407003254 | Stefanie M Davis | Nurse Practitioner | 16641 N 40th St, Suite 2, Phoenix, AZ 85032-3343 | 2008-08-23 |
| 1013045533 | Stefanie Marie Davis | Dietitian, Registered | 520 N 4th Ave, Pasco, WA 99301-5257 | 2007-02-28 |
| Street Address |
3754 W INDIAN TRAIL RD |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760435028 | Michael Jacks Mainer | Emergency Medicine | 3754 W Indian Trail Rd, Spokane, WA 99208-4700 | 2006-05-18 |
| 1376144360 | Kelsey Baycroft | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-11-05 |
| 1881201648 | Cheri Ileen Brewster | Registered Nurse | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-09-25 |
| 1255943627 | Dylan Ramirez | Peer Specialist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-08-18 |
| 1366069304 | Mekel Aliace Strahan | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-06-25 |
| 1477179414 | Hind Alharbi | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-06-24 |
| 1376163659 | Anna Jayne Hubbell | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-04-16 |
| 1609495704 | Marlena Lee Kennedy | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-04-09 |
| 1417576661 | Ashley Senf | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-04-08 |
| 1013543438 | De'sean Dean | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819550 | Ginger Lee Grey | Counselor | 1325 W 1st Ave Ste 314, Spokane, WA 99201-4135 | 2020-10-26 |
| 1942808530 | Hannah M. Smith | Counselor | 106 W. Mission Ave, Spokane, WA 99201-2337 | 2020-10-15 |
| 1659979870 | Lisa Dawn Olson | Counselor | 327 W Montgomery Ave, Spokane, WA 99205-4737 | 2020-10-09 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1255946695 | Erik Brian Hildahl | Counselor | 514 E 22nd Ave, Spokane, WA 99203-2334 | 2020-09-12 |
| 1104439934 | Kristin Penn, Ma, Lmhc (pllc) | Counselor | 170 S Lincoln St Ste 150, Spokane, WA 99201-4443 | 2020-08-31 |
| 1740819416 | Elizabeth Michele Wright | Counselor | 815 W 7th Ave Ste 200, Spokane, WA 99204-2839 | 2020-04-05 |
| 1609416890 | Mychal Ferger | Counselor | 1411 W Garland Ave Ste A, Spokane, WA 99205-2614 | 2020-01-15 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| Find all providers in SPOKANE | ||||
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| 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.