Individual
DAVONNA MARIE NICHOLS-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 LITHIA PINECREST RD STE 102, BRANDON, FL 33511-5347
(863) 535-6414
Mailing address
5235 ARIVA DR APT 204, LAKELAND, FL 33812-4445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW25253
FL
1041C0700X
Clinical Social Worker
Primary
25253
FL
1041C0700X
Clinical Social Worker
SW25253
FL
Other
Enumeration date
08/14/2025
Last updated
01/27/2026
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