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Organization

THERAPY BY DAVIS COUNSELING LLC

Active
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Organization

THERAPY BY DAVIS COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL EUGENE DAVIS LCSW, CAADC (OWNER/MENTAL HEALTH CLINICIAN)
(616) 848-1918
Entity
Organization

Contact information

Practice address
1426 NE 17TH CT, FORT LAUDERDALE, FL 33305-3349
(616) 848-1918
Mailing address
1426 NE 17TH CT, FORT LAUDERDALE, FL 33305-3349
(616) 848-1918

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/01/2021
Last updated
06/01/2021
About Stedi
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  • EDI platform