Individual
DR. CHAMELEON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPC, LBSW, MAC, CMHT
Contact information
Practice address
1970 GRANDVIEW DR, GRENADA, MS 38901-5066
(662) 227-3700
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 757-0396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
PH6485
MS
101YM0800X
Mental Health Counselor
Primary
—
MS
101YP2500X
Professional Counselor
—
MS
104100000X
Social Worker
558
TN
104100000X
Social Worker
W11331
MS
Other
Enumeration date
05/16/2019
Last updated
06/04/2025
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