THERESA DAVIS (NPI# 1730639659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730639659 |
| Entity Type | Individual |
| Full Name | THERESA DAVIS |
| Practice Address |
1644 Carter St # B Suite 2 Vidalia LA 71373-3143 |
| Practice Telephone | 3184143065 |
| Practice Fax Number | 3184143067 |
| Mailing Telephone | 3184143065 |
| Mailing Fax Number | 3184143067 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487174868 | Theresa C Davis | Counselor | 1803 Somerville Rd Se Ste 4, Decatur, AL 35601-5015 | 2017-06-26 |
| 1992258917 | Theresa Davis | Physical Therapist | 4237 Mcalice Dr, Plano, TX 75093-6835 | 2016-07-26 |
| 1528466976 | Theresa Davis | Nurse Practitioner | 444 12th St # 1d2d, Brooklyn, NY 11215-8208 | 2014-12-17 |
| 1457678559 | Theresa Ann Davis | Counselor | 22623 James Avenue, Kingfisher, OK 73750-9503 | 2010-04-28 |
| 1750604393 | Theresa Davis | Social Worker | 16200 E 19 Mile Rd, Clinton Twp, MI 48038-3543 | 2010-03-10 |
| 1588802789 | Theresa M Davis | Marriage & Family Therapist | 310 Natoma St # 140, Folsom, CA 95630-2620 | 2009-01-26 |
| 1861616773 | Theresa Lynn Davis | Licensed Practical Nurse | 1021 S Old 3c Rd, Sunbury, OH 43074-9243 | 2007-04-12 |
| 1518927870 | Theresa Davis | Nurse Practitioner | 1347 Ozone Dr, Suite 2, Saluda, NC 28773-5506 | 2006-03-23 |
| 1962056283 | Theresa T Davis | Nurse Practitioner | 6100 Harbourside Centre Loop, Midlothian, VA 23112-2170 | 2019-07-25 |
| 1588137731 | Theresa Davis | Behavioral Analyst | 858 E 29th St, Brooklyn, NY 11210-2927 | 2019-01-09 |
| Street Address |
1644 CARTER ST # B SUITE 2 |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154793859 | Shere Herrington | Counselor | 1644 Carter St # B, Vidalia, LA 71373-3143 | 2015-10-21 |
| 1295262616 | Lana Cheryl Brown | Counselor | 1644 Carter St # B, Vidalia, LA 71373-3143 | 2017-05-16 |
| 1962953596 | Keymond Williams | Counselor | 1644 Carter St # B, Suite 2, Vidalia, LA 71373-3143 | 2016-10-19 |
| 1851842413 | Tracy Davis | Counselor | 1644 Carter St # B, Suite 2, Vidalia, LA 71373-3143 | 2016-10-19 |
| 1861942765 | Kendrea Shelvy | Counselor | 1644 Carter St # B, Suite #2, Vidalia, LA 71373-3143 | 2016-10-04 |
| 1184174005 | Juanita Roberts | Counselor | 1644 Carter St # B, Suite 2, Vidalia, LA 71373-3143 | 2016-10-04 |
| 1962952879 | Tonika Green | Counselor | 1644 Carter St # B, Vidalia, LA 71373-3143 | 2016-10-04 |
| 1720538549 | Leketa Queen | Social Worker | 1644 Carter St # B, Suite 2, Vidalia, LA 71373-3143 | 2016-10-04 |
| 1003366923 | Glynis Cephus | Counselor | 1644 Carter St # B, Suite 2, Vidalia, LA 71373-3143 | 2016-10-04 |
| 1265981120 | Ebonee Johnson | Counselor | 1644 Carter St # B, Suite 2, Vidalia, LA 71373-3143 | 2016-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932767647 | Alexius Coley | Counselor | 806 Carter St, Vidalia, LA 71373-3206 | 2019-05-29 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1881104438 | Mona Lisa Swinny | Counselor | 4907 Highway 84 W, Vidalia, LA 71373-3579 | 2017-10-10 |
| 1346762010 | Dennis L Harried | Counselor | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2017-07-13 |
| 1376083196 | Shelley Tashina Smith | Counselor | 304 Arlington Dr, Vidalia, GA 30474-8935 | 2017-02-27 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1275082117 | Shalonda Schiele | Counselor | 1644 Carter St Ste 2, Vidalia, LA 71373-3143 | 2016-10-03 |
| Find all providers in VIDALIA | ||||
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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.