KEVIN ALONZO DAVIS


Address: 10 Meadowbrook Rd, Brockton, MA 02301-7122
Phone: 5087424400

KEVIN ALONZO DAVIS (NPI# 1346858347) 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) 1346858347
Entity Type Individual
Full Name KEVIN ALONZO DAVIS
Credential MS, LADC1, CCFC
Practice Address 10 Meadowbrook Rd
Brockton
MA 02301-7122
Practice Telephone 5087424400
Practice Fax Number 5084086175
Mailing Telephone 5087424400
Mailing Fax Number 5084086175
Enumeration Date 2020-07-16
Last Update Date 2020-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
2415 MA Behavioral Health & Social Service Providers

Other Providers KEVIN DAVIS

NPI Name Taxonomy Address Enumeration
1205305711 Kevin Davis Counselor 400 W 76th St Ste 324, Chicago, IL 60620-1640 2018-11-14
1972019925 Kevin K Davis Jr. Physician Assistant 1101 N 27th St Ste F, Billings, MT 59101-0100 2017-12-28
1679092092 Kevin Davis Physical Therapist 4083 Austin Bluffs Pkwy Ste 101a, Colorado Springs, CO 80918-5928 2017-09-18
1497027502 Kevin D Davis Registered Nurse 44 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2135 2012-02-04
1285849240 Kevin Ruth Davis Social Worker 701 Mount Vernon Ave, Charlotte, NC 28203-4840 2007-05-13
1063561017 Kevin W Davis Chiropractor 880 Lawrence Rd, Suite 180, Kemah, TX 77565-2707 2007-01-09
1366537169 Kevin W. Davis Chiropractor 1502 N 13th St, Norfolk, NE 68701-2381 2006-10-04
1629069141 Kevin S Davis Specialist 123 Weaver Rd Ste A, Blairsville, GA 30512 2005-11-03
1326047119 Kevin W Davis Podiatrist 312 Northcrest Dr, Springfield, TN 37172-3963 2005-07-14
1265430482 Kevin B. Davis Obstetrics & Gynecology 806 West 3rd St, San Juan, TX 78589-2276 2005-07-12

Office Location

Street Address 10 MEADOWBROOK RD
City BROCKTON
State MA
Zip Code 02301-7122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053407429 Timothy William Corliss Social Worker 10 Meadowbrook Rd, Brockton, MA 02301 2006-10-05
1194333229 Timothy Duncan Carmichael Counselor 10 Meadowbrook Rd, Brockton, MA 02301-7122 2020-07-15
1053939496 Elaine Ruth Enos Counselor 10 Meadowbrook Rd, Brockton, MA 02301-7122 2020-07-13
1598387862 William Perry Petitpas Substance Abuse Rehabilitation Facility 10 Meadowbrook Rd, Brockton, MA 02301-7122 2020-05-10
1760003701 Laurie Williams-pipkins Counselor 10 Meadowbrook Rd, Brockton, MA 02301-7122 2020-04-30
1780210278 Tori-anne Charette-bjorkman Counselor 10 Meadowbrook Rd, Brockton, MA 02301-7122 2020-03-17
1265067557 Tiffany Menard Counselor 10 Meadowbrook Rd, Brockton, MA 02301-7122 2020-03-06
1174163661 Desteny M Mcsween Counselor 10 Meadowbrook Rd, Brockton, MA 02301-7122 2020-01-13
1043858129 Bonita Carrasquillo Counselor 10 Meadowbrook Rd, Brockton, MA 02301-7122 2019-12-19
1841837812 David Bates Counselor 10 Meadowbrook Rd, Brockton, MA 02301 2019-12-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807110 Jenny Vulpis Recreation Therapist 940 Belmont St (br 135), Brockton, MA 02301 2020-10-01
1205444924 Caroline Storey Counselor Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 2020-07-20
1013546852 Nuria Dos Santos Veiga Occupational Therapist 73 Denton St, Brockton, MA 02301 2020-04-03
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1831615343 Donna Marie Dugan Counselor South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 2017-08-16
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205444924 Caroline Storey Counselor Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 2020-07-20
1720540156 Nicilda Dejesus Counselor 204 Chatham West Dr, Brockton, MA 02301-1314 2019-04-04
1285160838 Maria Atherton Jr. Counselor 17 Snell St, Brockton, MA 02301-1644 2017-05-02
1467726398 Carin Rhodes Counselor 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 2012-02-23
1073817573 Daniel Mendes Depina Counselor 682 North Main Street, Apt. 308, Brockton, MA 02301-3626 2010-12-27
1063713402 Judith R Chaskes Counselor 30 Meadowbrook Road, Brockton, MA 02301 2010-11-16
1093957185 Jerome P Posey Counselor 1311 Main St, Brockton, MA 02301-7109 2009-04-03
1548441587 Sylvester Pereira Fortes Counselor 20 Hope St, Brockton, MA 02302-3415 2007-11-19
1184817579 George Hamilton Brickhouse Jr. Counselor 108 Centre Street, Brockton, MA 02302 2007-08-20
1720282130 Kathleen Mary Mckenna Counselor 225 Liberty St, Brockton, MA 02301-5571 2007-06-12
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Competitor

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City BROCKTON
Zip Code 02301

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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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