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LYDELL STACEY DAVIS
NPI 1083487409
Counselor - Mental Health in Philadelphia, PA

Active since November 07, 2023
1629 W RUSCOMB ST, PHILADELPHIA, PA 19141(215) 888-1524 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydell Stacey Davis NPPES

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

LYDELL STACEY DAVIS (NPI 1083487409) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1083487409
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLYDELL STACEY DAVIS
Location Address1629 W RUSCOMB STPhiladelphia, PA 19141-1539
Mailing Address1629 W Ruscomb StPhiladelphia, PA 19141-1539
Phone(215) 888-1524
Sole ProprietorYes
Enumeration DateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1083487409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1629 W RUSCOMB ST, Philadelphia, PA 19141
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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 Lydell Davis's NPI number?

The NPI number for Lydell Davis is 1083487409. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Lydell Davis located?

Lydell Davis practices at 1629 W Ruscomb St, Philadelphia, PA 19141. The listed phone number is (215) 888-1524.

What is Lydell Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lydell Davis was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.