BENJAMIN DAVIS LCPC
NPI 1710331269
Counselor - Professional in Hagerstown, MD
Active since April 21, 2016
About Benjamin Davis Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN DAVIS LCPC (NPI 1710331269) is an individual professional provider in Hagerstown, Maryland, licensed in Maryland (LC4749) and active in the NPI registry since April 2016.
NPPES Registry Identity
NPI1710331269
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBENJAMIN DAVISCredential: LCPC
Location Address13215 BROOK LANEHagerstown, MD 21742
Mailing Address13121 Brook LaneHagerstown, MD 21742 · (301) 733-0330 · Fax (301) 733-4038
Phone(301) 733-0330
Fax(301) 733-4038
Sole ProprietorNo
Enumeration DateApril 21, 2016
✔ NPI 1710331269 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC4749
13215 BROOK LANE, Hagerstown, MD 21742
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710331269, enumerated as an "individual" on April 21, 2016.
The provider is located at 13215 BROOK LANE HAGERSTOWN, MD 21742 and the phone number is (301) 733-0330.
Counselor with taxonomy code 101YP2500X and a focus in Professional.