Individual
MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4323 JEFFERSON AVE, TEXARKANA, AR 71854-1515
(870) 773-0700
Mailing address
505 W GRAND AVE, HOT SPRINGS, AR 71901-3931
(501) 623-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
P1802016
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225255795
—
AR
Enumeration date
09/03/2015
Last updated
02/11/2019
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