# MYERS DAVIS LIFE COACHING, INC

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

## Provider details

- **NPI number:** 1477144103
- **Authorized official:** ANGELA DAVIS CPLC (PRESIDENT)
- **Authorized official phone:** (870) 569-1052

## Contact information

- **Practice address:** 1141 E MAIN ST STE 102, BATESVILLE, AR 72501-3000
- **Practice address phone:** (870) 569-1052
- **Practice address fax:** (870) 569-8130
- **Mailing address:** 1141 E MAIN ST STE 102, BATESVILLE, AR 72501-3000
- **Mailing address phone:** (870) 569-1052
- **Mailing address fax:** (870) 569-8130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YS0200X | School Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2021
- **Last updated:** 01/26/2021