Individual
SHANE K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.MHC
Contact information
Practice address
4515 26TH ST W, BRADENTON, FL 34207-7200
(269) 282-4298
Mailing address
4515 26TH ST W, BRADENTON, FL 34207-7200
(269) 282-4298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH23035
FL
103TC1900X
Counseling Psychologist
Primary
6361001470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301013040
LICENSE
MI
01
—
6361001470
LIMITED LICENSE
MI
Enumeration date
09/03/2008
Last updated
10/17/2024
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