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TRACEY DAVENPORT
NPI 1003254780
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since June 04, 2013
5012 S LA BREA AVE STE 2, LOS ANGELES, CA 90056(323) 290-0200(323) 290-0202 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Davenport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY DAVENPORT (NPI 1003254780) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1003254780
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACEY DAVENPORT
Location Address5012 S LA BREA AVE STE 2Los Angeles, CA 90056-1863
Mailing Address5012 S La Brea Ave Ste 2Los Angeles, CA 90056-1863 · (323) 290-0200 · Fax (323) 290-0202
Phone(323) 290-0200
Fax(323) 290-0202
Sole ProprietorNo
Enumeration DateJune 4, 2013
✔ NPI 1003254780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5012 S LA BREA AVE STE 2, Los Angeles, CA 90056
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIDELSI GALEAS
Counselor (Addiction (Substance Use Disorder))
5012 S LA BREA AVE STE 2
LOS ANGELES, CA 90056
Los Angeles County (323) 290-0200
STEPHANIE CASTELLON
Counselor (Addiction (Substance Use Disorder))
5012 S LA BREA AVE STE 2
LOS ANGELES, CA 90056
Los Angeles County (323) 290-0200
MS. THERESA GRAY
Counselor (Addiction (Substance Use Disorder))
5012 S LA BREA AVE STE 2
LOS ANGELES, CA 90056
Los Angeles County (323) 290-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Davenport's NPI number?

The NPI number for Tracey Davenport is 1003254780. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Tracey Davenport located?

Tracey Davenport practices at 5012 S La Brea Ave Ste 2, Los Angeles, CA 90056. The listed phone number is (323) 290-0200.

What is Tracey Davenport's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tracey Davenport was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.