Individual
SHANE K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
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
07/23/2026
Update your record
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