TARA DAVIS
NPI 1447867395
Clinic/Center - Recovery Care in Saint Louis, MO
Active since September 24, 2020
About Tara Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA DAVIS (NPI 1447867395) is an individual recovery care provider in Saint Louis, Missouri and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1447867395
Entity TypeIndividualFemale
Primary Taxonomy261QR0800X
Provider Legal NameTARA DAVIS
Location Address4405 JUNE AVESaint Louis, MO 63121-3232
Mailing Address4405 June AveSaint Louis, MO 63121-3232 · (314) 456-4284
Phone(314) 456-4284
Sole ProprietorYes
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
✔ NPI 1447867395 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
4405 JUNE AVE, Saint Louis, MO 63121
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Non-emergency Medical Transport (VAN)
4405 JUNE AVE
SAINT LOUIS, MO 63121
SAINT LOUIS, MO 63121
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447867395, enumerated as an "individual" on September 24, 2020.
The provider is located at 4405 JUNE AVE SAINT LOUIS, MO 63121 and the phone number is (314) 456-4284.
Clinic/Center with taxonomy code 261QR0800X and a focus in Recovery Care.
