ANGELINA DAVIS
NPI 1700743978
Counselor - Addiction (Substance Use Disorder) in Saint Paul Park, MN

Q: What is Angelina Davis's NPI number?

The NPI number for Angelina Davis is 1700743978. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Q: What is Angelina Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Angelina Davis was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since January 08, 2026

799 HOLLEY AVE, SAINT PAUL PARK, MN 55071(612) 503-2814 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Angelina Davis NPPES

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

ANGELINA DAVIS (NPI 1700743978) is an individual addiction (substance use disorder) provider in Saint Paul Park, Minnesota, licensed in Minnesota (306909) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1700743978

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameANGELINA DAVIS

Location Address799 HOLLEY AVESaint Paul Park, MN 55071-1415

Mailing Address799 Holley AveSaint Paul Park, MN 55071-1415 · (612) 503-2814

Phone(612) 503-2814

Sole ProprietorYes

Enumeration DateJanuary 8, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1700743978 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 MN · 306909

799 HOLLEY AVE, Saint Paul Park, MN 55071

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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 Angelina Davis's NPI number?

The NPI number for Angelina Davis is 1700743978. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Angelina Davis located?

Angelina Davis practices at 799 Holley Ave, Saint Paul Park, MN 55071. The listed phone number is (612) 503-2814.

What is Angelina 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 Angelina Davis was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.