Individual
MR. PHILLIP LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LMHC
Contact information
Practice address
120 N HIGHWAY 1, BIRMINGHAM, IA 52535-7700
(641) 455-0636
(319) 498-4246
Mailing address
18219 150TH ST, DOUDS, IA 52551-8036
(641) 919-3465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00116
IA
101YM0800X
Mental Health Counselor
Primary
001316
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12837
—
IA
Enumeration date
01/31/2011
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us