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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: August 16, 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 NPPES & CMS

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

What is Jacqueline Smith Davis's NPI number?

The NPI number for Jacqueline Smith Davis is 1235779406. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Jacqueline Smith Davis located?

Jacqueline Smith Davis practices at 16609 Archdale St, Detroit, MI 48235. The listed phone number is (313) 974-0175.

What is Jacqueline Smith Davis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Smith Davis was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.