Organization
MYERS DAVIS LIFE COACHING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DAVIS CPLC (PRESIDENT)
(870) 569-1052
Entity
Organization
Contact information
Practice address
1141 E MAIN ST STE 102, BATESVILLE, AR 72501-3000
(870) 569-1052
(870) 569-8130
Mailing address
1141 E MAIN ST STE 102, BATESVILLE, AR 72501-3000
(870) 569-1052
(870) 569-8130
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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