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Organization
NANCY E. DAVIE, INC.
Active
Organization
NANCY E. DAVIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY E DAVIE PSY.D, LMHC (PRESIDENT)
(904) 259-1758
Entity
Organization
Contact information
Practice address
117 S 5TH ST, MACCLENNY, FL 32063-2303
(904) 259-1758
(904) 259-9553
Mailing address
PO BOX 748, MACCLENNY, FL 32063-0748
(904) 259-1758
(904) 259-9553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH3067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100055819
SOUTHCARE PPO
—
01
—
11530833
CAQH
—
01
—
133518000
MAGELLAN HEALTH SERVICES
—
01
—
169263
MANAGED HN
—
01
—
2016499
FIRST HEALTH
—
01
—
239885
AV-MED
—
01
—
272031
VALUE OPTIONS
—
01
—
5378011
AETNA
—
01
—
9426111
PHCS
—
01
—
DAVNANCY
CORPHEALTH, INC.
—
01
—
Z6736
BC/BS
—
Enumeration date
05/11/2012
Last updated
05/11/2012
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