MR. IVERY DAVIS (NPI# 1487163572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487163572 |
| Entity Type | Individual |
| Full Name | MR. IVERY DAVIS |
| Practice Address |
Pee Dee Mental Health, Marion Clinic 1100 S. Main St. Marion SC 29571-2957 |
| Mailing Address |
1100 S Main St Marion SC 29571-4914 |
| Practice Telephone | 8433215082 |
| Practice Fax Number | 8433215082 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
261QM0801X | Behavioral Health & Social Service Providers |
| Street Address |
PEE DEE MENTAL HEALTH, MARION CLINIC 1100 S. MAIN ST. |
| City | MARION |
| State | SC |
| Zip Code | 29571-2957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174662 | Tiffany Antionette Mcbride | Rehabilitation Counselor | 2320 Sc-41 Alt, Marion, SC 29571 | 2018-08-21 |
| 1538658521 | Schinitra Ti'onette Swinney | Nurse Practitioner | 1328 N. Main Street, Marion, SC 29571 | 2018-05-04 |
| 1740708536 | Alexis Drose | Specialist/Technologist | 1418 Derrick Court, Marion, SC 29571 | 2017-09-01 |
| 1215453451 | Joans Health Care LLC | Home Health | 2524 E Highway 76, Marion, SC 29571 | 2017-08-18 |
| 1407371909 | Davet Mcfadden | Counselor | 103 Court Street, Marion, SC 29571 | 2017-08-07 |
| 1568900686 | Jason Owen Hewett | Nurse Practitioner | 125 Jazz Court, Marion, SC 29571 | 2017-02-09 |
| 1225588155 | Extreme Home Health Services | Home Health | 1848 West Highway 76 Suite C, Marion, SC 29571 | 2016-10-04 |
| 1447608757 | Darren Sealey | Chiropractor | 2516 E Highway 76, Suite B, Marion, SC 29571 | 2016-05-26 |
| 1578931812 | Antonio Mcrae | Case Manager/Care Coordinator | 122 Manning St, Marion, SC 29571 | 2015-09-03 |
| 1538568233 | Rakeyta Benjamin | Psychologist | 515 E. Liberty Street, Marion, SC 29571 | 2014-08-19 |
| Find all providers in zip 29571 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346577 | Gwendolyn Reeves | Counselor | 54 College Dr, Marion, NC 28752-8728 | 2020-04-27 |
| 1154816296 | Billy Gene Sheehan | Counselor | 46 Marquette Dr Ste 2, Marion, NC 28752-6680 | 2018-06-29 |
| 1932602034 | Anquinett Burnett | Counselor | 551 Burma Rd W, Marion, NC 28752-5583 | 2018-03-14 |
| 1437664521 | Jenifer Joy Aronson | Counselor | 1122 W 3rd St, Marion, IN 46952-3667 | 2017-12-11 |
| 1497274468 | Shirley Lee Johnson | Counselor | 480 Saint Paul Church Rd, Marion, LA 71260-4835 | 2017-09-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1205294717 | Leah Rachelle Kelley | Counselor | 1780 Lytle Mountain Rd, Marion, NC 28752-8488 | 2016-01-29 |
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1366827149 | Wendy Jill Owens | Counselor | 201 Converse Rd, Marion, MA 02738-1703 | 2015-07-22 |
| 1780063891 | Marion Family Counseling. Pllc | Counselor | 631 9th St, Marion, IA 52302-3348 | 2015-05-21 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on MR. IVERY DAVIS.
| 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.