# KENYONA DAVIS, LLC

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

## Provider details

- **NPI number:** 1558941641
- **Authorized official:** MS. KENYONA DAVIS LMSW (CEO)
- **Authorized official phone:** (202) 729-0018

## Contact information

- **Practice address:** 3600 PULASKI HWY, BALTIMORE, MD 21224-1534
- **Practice address phone:** (202) 729-0018
- **Mailing address:** 4968 DOGWOOD ST, SHADY SIDE, MD 20764-9659
- **Mailing address phone:** (202) 729-0018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2021
- **Last updated:** 04/12/2021