Individual
AMANI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10430 HARRIS OAK BLVD STE L, CHARLOTTE, NC 28269-7513
(704) 360-3637
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
(708) 614-7831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
6681
NC
Other
Enumeration date
09/01/2020
Last updated
11/04/2024
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