MS. GLADYS KYRIMA DAVIS
NPI 1821592478
Community/Behavioral Health in Loganville, GA
- Individual
- Female
- Community/Behavioral Health
About GLADYS DAVIS
This page provides the complete NPI Profile along with additional information for Gladys Davis, a provider established in Loganville, Georgia with a medical specialization in Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1821592478 assigned on March 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1821592478 Verify this NPI
- Provider Name
- MS. GLADYS KYRIMA DAVIS
- Other Name
- KYRIMA ANDERSON
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1392 PRESERVE PARK DR LOGANVILLE, GA 30052
- Location Phone
- (404) 992-7747
- Mailing Address
- 910 ATHENS HWY STE K312 LOGANVILLE, GA 30052
- Mailing Phone
- (678) 697-1567
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-20-2018
- Last Update Date
- 12-04-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 172V00000X | Other Service Providers | Community Health Worker | |
| 2 | 251E00000X | Agencies | Home Health | |
| 3 | 372600000X | Nursing Service Related Providers | Adult Companion | |
| 4 | 373H00000X | Nursing Service Related Providers | Day Training/Habilitation Specialist | |
| 5 | 374U00000X | Nursing Service Related Providers | Home Health Aide | |
| 6 | 376K00000X | Nursing Service Related Providers | Nurse's Aide | |
| 7 | 385H00000X | Respite Care Facility | Respite Care | |
| 8 | 385HR2060X | Respite Care Facility | Respite Care |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821592478, enumerated as an "individual" on March 20, 2018.
The provider is located at 1392 PRESERVE PARK DR LOGANVILLE, GA 30052 and the phone number is (404) 992-7747.
Community/Behavioral Health with taxonomy code 251S00000X.
