# MARK DAVIS, LMHP, LPC, INC

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

## Provider details

- **NPI number:** 1649204827
- **Authorized official:** MARK DAVIS LMHP, LPC (PRESIDENT)
- **Authorized official phone:** (402) 440-7884

## Contact information

- **Practice address:** 4830 S 69TH ST, LINCOLN, NE 68516-1501
- **Practice address phone:** (402) 440-7884
- **Mailing address:** 4830 S 69TH ST, LINCOLN, NE 68516-1501
- **Mailing address phone:** (402) 440-7884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 1302 | NE | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020