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JACQUELINE YVETTER SMITH DAVIS
NPI 1235779406
Counselor in Detroit, MI

Active since January 15, 2020
16609 ARCHDALE ST, DETROIT, MI 48235(313) 974-0175 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Yvetter Smith Davis NPPES

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

JACQUELINE YVETTER SMITH DAVIS (NPI 1235779406) is an individual counselor in Detroit, Michigan, licensed in Michigan (640100361) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1235779406
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACQUELINE YVETTER SMITH DAVIS
Location Address16609 ARCHDALE STDetroit, MI 48235-3416
Mailing Address37450 Schoolcraft RdLivonia, MI 48150-1082
Phone(313) 974-0175
Sole ProprietorYes
Enumeration DateJanuary 15, 2020
✔ NPI 1235779406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 640100361
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

16609 ARCHDALE ST, Detroit, MI 48235
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is Jacqueline Smith Davis's NPI number?

The NPI number assigned to this healthcare provider is 1235779406, enumerated as an "individual" on January 15, 2020.

Where is the provider located?

The provider is located at 16609 ARCHDALE ST DETROIT, MI 48235 and the phone number is (313) 974-0175.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.