SANDRA DECOLE DAVIS
NPI 1083379333
Counselor - Mental Health in Henderson, NC
Active since November 02, 2021
About Sandra Decole Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA DECOLE DAVIS (NPI 1083379333) is an individual mental health provider in Henderson, North Carolina, licensed in Virginia (0732009019) and active in the NPI registry since November 2021.
NPPES Registry Identity
NPI1083379333
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSANDRA DECOLE DAVIS
Location Address300 W PARKVIEW DRHenderson, NC 27536-5954
Mailing Address2701 N 16th St Ste 316Phoenix, AZ 85006-1266 · (623) 282-2890
Phone(252) 438-4145
Fax(252) 438-6405
Sole ProprietorNo
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1083379333 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0732009019
300 W PARKVIEW DR, Henderson, NC 27536
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
300 W PARKVIEW DR
HENDERSON, NC 27536
HENDERSON, NC 27536
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083379333, enumerated as an "individual" on November 02, 2021.
The provider is located at 300 W PARKVIEW DR HENDERSON, NC 27536 and the phone number is (252) 438-4145.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
