Organization
ARDAVIS & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R DAVIS LCPC (MEMBER, MANAGER)
(217) 697-7215
Entity
Organization
Contact information
Practice address
2151 W WHITE OAKS DR STE D, SPRINGFIELD, IL 62704-6410
(217) 697-7215
Mailing address
2151 W WHITE OAKS DR STE D, SPRINGFIELD, IL 62704-6410
(217) 697-7215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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