Individual
LEKESHA LEVETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5647 DELMAR BLVD, SAINT LOUIS, MO 63112-2615
(314) 531-1770
(314) 367-2025
Mailing address
3966 ARGONNE FOREST DR, FLORISSANT, MO 63034-2417
(314) 853-2421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2017016839
MO
101Y00000X
Counselor
22679
MS
101YM0800X
Mental Health Counselor
22678
MS
101YP2500X
Professional Counselor
Primary
2017016839
MO
106H00000X
Marriage & Family Therapist
22678
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018205
—
MS
01
—
362085279
INSURANCE
MS
Enumeration date
04/12/2010
Last updated
06/11/2019
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