# DAVIKA MATTOX PMHNP RECOVERY AND WELLNESS BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033601992
- **Authorized official:** DAVIKA MATTOX (OWNER)
- **Authorized official phone:** (859) 432-2168

## Contact information

- **Practice address:** 3208 POLO CLUB BLVD, LEXINGTON, KY 40509-8454
- **Practice address phone:** (859) 432-2168
- **Mailing address:** 3208 POLO CLUB BLVD, LEXINGTON, KY 40509-8454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018