MANDY JO DAVIS (NPI# 1013546654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013546654 |
| Entity Type | Individual |
| Full Name | MANDY JO DAVIS |
| Practice Address |
2607 Caddo St Ste 6 Arkadelphia AR 71923-5307 |
| Practice Telephone | 8702308217 |
| Practice Fax Number | 8702308201 |
| Mailing Telephone | 8702308217 |
| Mailing Fax Number | 8702308201 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A2007092 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962509513 | Mandy Rose Davis | Registered Nurse | 1600 7th Ave S, 4 West Nurse's Desk, Birmingham, AL 35233-1711 | 2006-09-17 |
| Street Address |
2607 CADDO ST STE 6 |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474268 | Christy G Campbell | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2007-02-15 |
| 1245837350 | Brett Burks | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-10-02 |
| 1194341123 | Julie A Harrington | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-25 |
| 1518582402 | Shawn Lee Hardin | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-16 |
| 1730704339 | Andrew Allen Arnold | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-10 |
| 1942822465 | Klaire Howard | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-05-07 |
| 1508492166 | Jessica K. Putz | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-03-16 |
| 1477199404 | Claudia Cheyenne Charles | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-11-25 |
| 1093350969 | Victoria L Viera | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-11-14 |
| 1861033656 | Lakyn L. Erbs | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164838660 | Ashley L Hunter | Counselor | 2306 Barkman St, Arkadelphia, AR 71923-4317 | 2014-07-03 |
| 1184857369 | Kenyon Mark Mosher | Counselor | 2503 Pine St Ste 4, Arkadelphia, AR 71923-4368 | 2009-09-03 |
| 1144417171 | Adam Nicholas Maisen | Counselor | 2911 Pine St Ste B, Arkadelphia, AR 71923-5322 | 2007-10-03 |
| 1700093812 | Amber Nicole Taylor | Counselor | 960 N 8th St, Arkadelphia, AR 71923-3202 | 2007-05-17 |
| 1689796187 | John Eck Pendergist | Counselor | 2304 Barkman St, Arkadelphia, AR 71923-4317 | 2007-04-04 |
| 1134243579 | Maxus Inc. | Counselor | 2425 Country Club Road, Arkadelphia, AR 71923-4731 | 2007-03-19 |
| 1992839815 | Ralph Blair Olson | Counselor | 1421 Wilson St, Arkadelphia, AR 71923-4660 | 2007-03-15 |
| 1679136907 | David William Lusher | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-04-22 |
| 1790266872 | China Elaine Scott | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2018-08-27 |
| 1679079990 | Christine Marie Dickson | Counselor | 205 N 26th St, Arkadelphia, AR 71923 | 2018-04-04 |
| Find all providers in ARKADELPHIA | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
Please comment or provide details below to improve the information on MANDY JO DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.