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Individual

SANETRIA DAVIS

Active
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Individual

SANETRIA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
66355
TX
1041C0700X
Clinical Social Worker
Primary
66355
TX
171M00000X
Case Manager/Care Coordinator
66355
TX
251B00000X
Case Management Agency
66355
TX
251S00000X
Community/Behavioral Health Agency
66355
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
66355
TX
261QM0850X
Adult Mental Health Clinic/Center
66355
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
66355
TX
3104A0625X
Assisted Living Facility (Mental Illness)
66355
TX
310500000X
Mental Illness Intermediate Care Facility
66355
TX
320800000X
Mental Illness Community Based Residential Treatment Facility
66355
TX
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
66355
TX
323P00000X
Psychiatric Residential Treatment Facility
66355
TX
324500000X
Substance Abuse Rehabilitation Facility
66355
TX

Other

Enumeration date
10/09/2021
Last updated
10/09/2021
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