Individual
MICHAEL D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
(813) 932-4960
Mailing address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
(813) 932-4960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5631
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5631
FL
101YM0800X
Mental Health Counselor
5631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH5631
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
03/09/2018
Last updated
03/09/2018
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