ANGELINA DAVIS
NPI 1700743978
Counselor - Addiction (Substance Use Disorder) in Saint Paul Park, MN
Active since January 08, 2026
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
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
The NPI number assigned to this healthcare provider is 1700743978, enumerated as an "individual" on January 08, 2026.
The provider is located at 799 HOLLEY AVE SAINT PAUL PARK, MN 55071 and the phone number is (612) 503-2814.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
