MRS. CRYSTAL MARIE DAVIS MA, LLPC
NPI 1902157837
Counselor - Mental Health in Wyandotte, MI
Active since October 02, 2012
About Mrs. Crystal Marie Davis Ma, Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CRYSTAL MARIE DAVIS MA, LLPC (NPI 1902157837) is an individual mental health provider in Wyandotte, Michigan, licensed in Michigan (6401014693) and active in the NPI registry since October 2012.
NPPES Registry Identity
NPI1902157837
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CRYSTAL MARIE DAVISCredential: MA, LLPC
Location Address3537 FORT STWyandotte, MI 48192-6315
Mailing Address3537 Fort StWyandotte, MI 48192-6315 · (734) 818-9270
Phone(734) 818-9270
Sole ProprietorYes
Enumeration DateOctober 2, 2012
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1902157837 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401014693
3537 FORT ST, Wyandotte, MI 48192
Other Identifiers 1
MedicaidSA0580017MI
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902157837, enumerated as an "individual" on October 02, 2012.
The provider is located at 3537 FORT ST WYANDOTTE, MI 48192 and the phone number is (734) 818-9270.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
