LEKESHA LEVETTE DAVIS (NPI# 1063738375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063738375 |
Entity Type | Individual |
Full Name | LEKESHA LEVETTE DAVIS |
Practice Address |
5647 Delmar Blvd Saint Louis MO 63112-2615 |
Mailing Address |
3966 Argonne Forest Dr Florissant MO 63034-2417 |
Practice Telephone | 3145311770 |
Practice Fax Number | 3143672025 |
Mailing Telephone | 3148532421 |
Enumeration Date | 2010-04-12 |
Last Update Date | 2019-06-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 2017016839 | MO | Behavioral Health & Social Service Providers |
N | 101Y00000X | Counselor | 22679 | MS | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
22678 | MS | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
2017016839 | MO | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 22678 | MS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00018205 | 05 | |
MS | INSURANCE | 362085279 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1654 E Union St, Greenville, MS 387033250 | 6623355274 | 6623783976 |
Street Address |
5647 DELMAR BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63112-2615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013099589 | Claudine Allen | Counselor | 5647 Delmar Blvd, Saint Louis, MO 63112-2615 | 2006-10-20 |
1316502834 | Diana Dee | Counselor | 5647 Delmar Blvd, Saint Louis, MO 63112-2615 | 2019-05-09 |
1740845627 | Robin L Wilkerson | Counselor | 5647 Delmar Blvd, Saint Louis, MO 63112-2615 | 2019-05-06 |
1922140409 | Joshua Wesley Calhoun | Psychiatry & Neurology | 5647 Delmar Blvd, Saint Louis, MO 63112-2615 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
Find all providers in zip 63112 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
1467067504 | Anne Margaret Perkins | Counselor | 9733 Saint Charles Rock Rd, Saint Louis, MO 63114-2625 | 2020-09-15 |
1730792722 | Aryn Bostic | Counselor | 7584 Olive Blvd Ste 203, Saint Louis, MO 63130-1600 | 2020-08-28 |
1417568932 | Child and Family Empowerment Center | Counselor | 800 N Tucker Blvd Fl 1, Saint Louis, MO 63101-1008 | 2020-08-10 |
1720603830 | Kelly Marie Buckley | Counselor | 5939 Hilgard Pl, Saint Louis, MO 63109-3445 | 2020-06-15 |
1407479207 | Lauren Elizabeth Summers | Counselor | 6261 Reber Pl, Saint Louis, MO 63139-2617 | 2020-05-27 |
1306469960 | Walter Robert Scull | Counselor | 1300 Kirkham Ave, Saint Louis, MO 63122-3127 | 2020-05-18 |
1982226759 | David Mcgraw | Counselor | 28 Reasor Dr, Saint Louis, MO 63135-1125 | 2020-05-14 |
1992326565 | Chantrell M Carter | Counselor | 5027 Mardel Ave, Saint Louis, MO 63109-1731 | 2020-05-05 |
1508486333 | Evelyn Aviva Witten | Counselor | 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 | 2020-04-22 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63112 |
Please comment or provide details below to improve the information on LEKESHA LEVETTE 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.