Individual
MACY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 MED TECH PKWY STE 201, JOHNSON CITY, TN 37604-2365
(423) 402-3480
Mailing address
1825 W LAKEVIEW DR APT K88, JOHNSON CITY, TN 37601-4320
(423) 367-2803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8256
TN
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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