Organization
DAVIS DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA K DAVIS LCSW (CEO)
(618) 315-9464
Entity
Organization
Contact information
Practice address
317 OFFICE SQUARE LN STE 202B, VIRGINIA BEACH, VA 23462-3663
(757) 918-9874
Mailing address
8009 ELAINE CT, NORFOLK, VA 23518-3004
(618) 315-9464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/14/2019
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