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ROSETTA J DAVIS
NPI 1366915704
Peer Specialist in Colville, WA

Active since January 08, 2019
165 E HAWTHORNE AVE, COLVILLE, WA 99114(509) 684-4597(509) 684-5286 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2022, Jan 8, 2019 (2 updates tracked since 2019).

About Rosetta J Davis NPPES

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

ROSETTA J DAVIS (NPI 1366915704) is an individual peer specialist in Colville, Washington, licensed in Washington (CG60925012) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1366915704
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameROSETTA J DAVIS
Location Address165 E HAWTHORNE AVEColville, WA 99114-2629
Mailing Address165 E Hawthorne AveColville, WA 99114-2629 · (509) 684-4597 · Fax (509) 684-5286
Phone(509) 684-4597
Fax(509) 684-5286
Sole ProprietorNo
Enumeration DateJanuary 8, 2019
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1366915704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CG60925012
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X · License CG60925012 (WA)
165 E HAWTHORNE AVE, Colville, WA 99114
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Other Providers at the Same Location NPPES 20

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

NORTHEAST WASHINGTON ALLIANCE COUNSELING SERVICES
Community/Behavioral Health
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 685-0656
HADASSAH HARSHBARGER
Student in an Organized Health Care Education/Training Program
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
TERRY L PARRISH
Counselor
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
SAWYER J. C. HUGHES
Social Worker
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
LIZANNE STOLWORTHY M. ED., LMHC, DMHP
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
LAURA S JOHNSON CDPT
Counselor (Addiction (Substance Use Disorder))
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
LEILANI WAY
Student in an Organized Health Care Education/Training Program
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
MARANDA S GILLESPIE
Nurse's Aide
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597

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 Rosetta Davis's NPI number?

The NPI number for Rosetta Davis is 1366915704. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Rosetta Davis located?

Rosetta Davis practices at 165 E Hawthorne Ave, Colville, WA 99114. The listed phone number is (509) 684-4597.

What is Rosetta Davis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Rosetta Davis was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.