Organization
DAVIS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVIS (OWNER)
(816) 824-1989
Entity
Organization
Contact information
Practice address
12A WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 824-1989
Mailing address
301 CONCORD CIR, GRAIN VALLEY, MO 64029-9719
(816) 824-1989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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