MANDA J DAVIS LADAC,BCC
NPI 1346679636
Counselor - Addiction (Substance Use Disorder) in Bentonville, AR

Active since November 06, 2013
1002 SE C ST, BENTONVILLE, AR 72712(479) 271-2120(479) 271-2219 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manda J Davis Ladac,bcc NPPES

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

MANDA J DAVIS LADAC,BCC (NPI 1346679636) is an individual addiction (substance use disorder) provider in Bentonville, Arkansas, licensed in Arkansas (365L) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1346679636
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMANDA J DAVISCredential: LADAC,BCC
Location Address1002 SE C STBentonville, AR 72712-6327
Mailing Address1002 Se C StBentonville, AR 72712-6327 · (479) 271-2120 · Fax (479) 271-2219
Fax(479) 271-2219
Sole ProprietorYes
Enumeration DateNovember 6, 2013
NPI 1346679636 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
License Licensed in AR · 365L
1002 SE C ST, Bentonville, AR 72712

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1002 SE C ST
BENTONVILLE, AR 72712
Counselor (Mental Health)
1002 SE C ST
BENTONVILLE, AR 72712
Counselor (Addiction (Substance Use Disorder))
1002 SE C ST
BENTONVILLE, AR 72712
Clinic/Center (Mental Health (Including Community Mental Health Center))
1002 SE C ST
BENTONVILLE, AR 72712
Community/Behavioral Health
1002 SE C ST
BENTONVILLE, AR 72712

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 Manda Davis's NPI number?

The NPI number for Manda Davis is 1346679636. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Where is Manda Davis located?

Manda Davis practices at 1002 SE C St, Bentonville, AR 72712. The listed phone number is (479) 271-2120.

What is Manda 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 Manda Davis was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.