Individual
DEMARCUS C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
1088 ROGERS RD, CORDOVA, TN 38018-8546
(901) 359-8330
(901) 757-4212
Mailing address
3340 NICHOLAS CV, BARTLETT, TN 38134-3894
(901) 359-8330
(901) 757-4212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11993318
CAQH
TN
05
—
1520532
—
TN
Enumeration date
02/13/2007
Last updated
12/03/2010
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