MS. GERALDINE ETELLA DAVIS B.S.
NPI 1053439737
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since March 27, 2007
3840 FAIRVIEW ST., DETROIT, MI 48214(313) 331-8990 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Geraldine Etella Davis B.s. NPPES

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

MS. GERALDINE ETELLA DAVIS B.S. (NPI 1053439737) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1053439737
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. GERALDINE ETELLA DAVISCredential: B.S.
Location Address3840 FAIRVIEW ST.Detroit, MI 48214
Mailing Address2047 Charlton St Apt 101Ann Arbor, MI 48103-3953 · (734) 997-9214
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1053439737 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
3840 FAIRVIEW ST., Detroit, MI 48214

Other Identifiers 2

Other1063545556MI · Genesis House Iii
Medicaid3022440MI

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 Geraldine Davis's NPI number?

The NPI number for Geraldine Davis is 1053439737. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Geraldine Davis located?

Geraldine Davis practices at 3840 Fairview St., Detroit, MI 48214. The listed phone number is (313) 331-8990.

What is Geraldine Davis'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 Geraldine Davis was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.