SAMANTHA ELIZABETH DAVIS (NPI# 1891277877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891277877 |
| Entity Type | Individual |
| Full Name | SAMANTHA ELIZABETH DAVIS |
| Credential | BA, CADC-CAS ,GI |
| Practice Address |
1971 Essex Ct Redlands CA 92373-8057 |
| Mailing Address |
33039 Eagle Point Dr Yucaipa CA 92399-3461 |
| Practice Telephone | 8004744848 |
| Mailing Telephone | 9512066296 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C040930217 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS | C040930217 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35826 Panorama Dr, Yucaipa, CA 923993539 | 9512066296 | |
| 36442 Wildwood Canyon Rd, Yucaipa, CA 923995274 | 8004744848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938205 | Samantha Davis | Social Worker | 564 N Flauson Ave, Kuna, ID 83634-1279 | 2020-10-02 |
| 1124505276 | Samantha Davis | Behavior Technician | 7567 Amador Valley Blvd Ste 109, Dublin, CA 94568-2442 | 2018-07-22 |
| 1669986352 | Samantha Davis | Audiologist | 307 W Minnesota Park Rd Ste 4, Hammond, LA 70403-6148 | 2017-11-17 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1609248780 | Samantha Davis | Occupational Therapist | 286 Rose St, Belleville, WI 53508-9207 | 2015-10-28 |
| 1184094286 | Samantha Davis | Hearing Instrument Specialist | 1026 Andrews Run Apt H202, Hendersonville, TN 37075-1277 | 2015-10-01 |
| 1629497920 | Samantha Davis | Technician | 6703 Spencer Dr, Arlington, TX 76002-5546 | 2014-04-15 |
| 1285986943 | Samantha Morris Davis | Pharmacist | 124 Williams Ct, Mobile, AL 36606-1466 | 2012-10-04 |
| 1336430172 | Samantha Kathleen Davis | Community Health Worker | 925 Ne 20th St, Oklahoma City, OK 73105-8211 | 2011-04-27 |
| 1023646098 | Samantha Elizabeth Davis | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-03-27 |
| Street Address |
1971 ESSEX CT |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-8057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538350020 | Tina Collins | Counselor | 1971 Essex Ct, Redlands, CA 92373 | 2007-08-08 |
| 1992280531 | Louis Lennart Kho Qui | Nurse Practitioner | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-09-29 |
| 1851876957 | Lavinia L Livai | Counselor | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-09-25 |
| 1467947002 | Marsha Marie Zachary | Marriage & Family Therapist | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-06-26 |
| 1124511597 | Michael Clements | Counselor | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-06-11 |
| 1679065403 | Amanda Reyes | Marriage & Family Therapist | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-06-06 |
| 1881186245 | Benchmark Transitions | Counselor | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-06-01 |
| 1083106439 | Tanya Westcott | Counselor | 1971 Essex Ct, Redlands, CA 92373 | 2018-06-01 |
| 1093907156 | Jennifer Marie Mendoza | Counselor | 1971 Essex Ct, Redlands, CA 92373 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910935 | Lauryn Ann Sealock | Counselor | 1525 Orange St, Redlands, CA 92374-2204 | 2019-09-08 |
| 1780247924 | Sharita Lynn Johnson | Counselor | 1889 W Redlands Blvd Unit 9, Redlands, CA 92373-3119 | 2019-04-14 |
| 1104349646 | Ronald E Honn | Counselor | 101 E Redlands Blvd Ste 200, Redlands, CA 92373-4724 | 2017-07-17 |
| 1639690449 | Dynamic Transformations | Counselor | 1247 Cantania Dr, Redlands, CA 92374-4748 | 2017-06-30 |
| 1881857944 | Sylvia Malissa Hernandez | Counselor | 1889 W Redlands Blvd Bldg 9, Redlands, CA 92373 | 2008-07-08 |
| 1538350020 | Tina Collins | Counselor | 1971 Essex Ct, Redlands, CA 92373 | 2007-08-08 |
| 1295958411 | Nadine Steele | Counselor | 10 E Vine St Ste 217, Redlands, CA 92373-4765 | 2007-04-10 |
| 1609439744 | Agustin Hernandez Salazar | Counselor | 1889 W Redlands Blvd, Redlands, CA 92373-3119 | 2019-04-15 |
| 1124511597 | Michael Clements | Counselor | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-06-11 |
| 1881186245 | Benchmark Transitions | Counselor | 1971 Essex Ct, Redlands, CA 92373-8057 | 2018-06-01 |
| Find all providers in REDLANDS | ||||
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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.