MR. MICHAEL BLAKE DAVIS (NPI# 1609422609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609422609 |
Entity Type | Individual |
Full Name | MR. MICHAEL BLAKE DAVIS |
Credential | LPC |
Practice Address |
2849 Nighthawk Dr Mesquite TX 75181-4966 |
Practice Telephone | 2145875789 |
Practice Fax Number | 9722220520 |
Mailing Telephone | 2145875789 |
Mailing Fax Number | 9722220520 |
Enumeration Date | 2019-08-15 |
Last Update Date | 2019-08-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
61946 | TX | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
61946 | TX | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
61946 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326676842 | Michael Davis | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 | 2020-03-30 |
1962064691 | Michael Vernon Davis I | Driver | 502 W Park Plz, Mattoon, IL 61938-3639 | 2019-07-02 |
1518451988 | Michael Scott Davis | Dentist | 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 | 2018-06-19 |
1629582002 | Michael Davis | Physical Therapist | 2093 Irene Ln, Idaho Falls, ID 83404-7167 | 2017-11-21 |
1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
1619423894 | Michael Davis | Specialist/Technologist | 129 Greenvale Dr, Lexington, SC 29072-7360 | 2016-08-29 |
1376901645 | Michael Davis Jr. | Massage Therapist | 3245 Harness Dr, Florissant, MO 63033-3715 | 2016-02-02 |
1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
1689928061 | Michael Arthur Davis | Surgery | 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 | 2012-11-06 |
Street Address |
2849 NIGHTHAWK DR |
City | MESQUITE |
State | TX |
Zip Code | 75181-4966 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225365059 | Pamela Ann Davis | Social Worker | 2849 Nighthawk Dr, Mesquite, TX 75181-4966 | 2009-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508258278 | Ana Sanchez | Counselor | 2071 Silverado Dr, Mesquite, TX 75181 | 2015-03-04 |
1245466978 | Anthony D Pham | Dentist | 815 Ashley Place, Mesquite, TX 75181 | 2009-06-09 |
1912145137 | Debtag Home Health Services Inc. | Technician | 3205 Bent Oak Drive, Mesquite, TX 75181 | 2009-01-26 |
1750500906 | Ressie Moore | Social Worker | 14113 South Pass, Mesquite, TX 75181 | 2007-04-25 |
1386752384 | Starlex Home Health Services, LLC | Home Health | 2834 Jeremy Dr, Mesquite, TX 75181 | 2006-08-29 |
1467789594 | Rog Home Health Services, LLC | Home Health | 6340 Ashford Trl, Mesquite, TX 75181-0001 | 2009-11-10 |
1376007146 | Binu Shylu | Nurse Practitioner | 6120 Hagan Hill Rd, Mesquite, TX 75181-0006 | 2019-01-25 |
1508280199 | Dekota Bisor | Nutritionist | 2201 Baretta Dr, Mesquite, TX 75181-1035 | 2014-02-18 |
1679825079 | Sanyei Bynum | Occupational Therapist | 928 Remington Trl, Mesquite, TX 75181-1052 | 2012-10-09 |
1770054207 | Aaron Penny | Registered Nurse | 2414 Weatherby Dr, Mesquite, TX 75181-1060 | 2018-12-10 |
Find all providers in zip 75181 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326661562 | Marchell G Rape | Counselor | 225 Hardwood Trl, Mesquite, TX 75150-4522 | 2020-05-22 |
1447870316 | Carrie Lynell Jones | Counselor | 914 Creek Valley Rd, Mesquite, TX 75181-1240 | 2020-04-21 |
1518421213 | Susan Reinke | Counselor | 1224 Grinnel Dr, Mesquite, TX 75150-1369 | 2019-01-27 |
1487199642 | Family and Child Guidance Center | Counselor | 120 W Main St Ste 220, Mesquite, TX 75149-4224 | 2016-12-27 |
1033653126 | Jennifer Hanson | Counselor | 415 Sumner Dr, Mesquite, TX 75149-2536 | 2016-12-08 |
1801223722 | Kimberley Montgomery | Counselor | 106 S Bryan Belt Line Rd, Mesquite, TX 75149-4350 | 2013-10-09 |
1114278421 | Tori Dismuke Eudy | Counselor | 701 Highway 352 Ste A100, Mesquite, TX 75149-6897 | 2012-09-26 |
1932491081 | Evaluation Network LLC | Counselor | 4675 Ih 30, Suite 102, Mesquite, TX 75150-2428 | 2011-05-09 |
1053630145 | Lisa Slaughter | Counselor | 221 E Davis St, Mesquite, TX 75149-4608 | 2010-05-27 |
1851555445 | Leslie B Vasquez | Counselor | 3516 Oates Dr, Mesquite, TX 75150-2106 | 2008-07-14 |
Find all providers in MESQUITE |
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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.