Organization
JODY DAVIDSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY DAVIDSON LCSW (OWNER)
(337) 794-1141
Entity
Organization
Contact information
Practice address
1856 EASY ST, LAKE CHARLES, LA 70605-0418
(337) 794-1141
Mailing address
1856 EASY ST, LAKE CHARLES, LA 70605-0418
(337) 794-1141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
11/24/2025
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