JOSEPH CLINTON DAVIS (NPI# 1093940017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093940017 |
| Entity Type | Individual |
| Full Name | JOSEPH CLINTON DAVIS |
| Practice Address |
520 Olive St Shreveport LA 71104-2312 |
| Mailing Address |
589 Unadilla St Shreveport LA 71106-1239 |
| Practice Telephone | 3184464141 |
| Practice Fax Number | 3184464141 |
| Mailing Telephone | (318) 446-4141 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
#4948 | LA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | #4948 | LA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 E Foothill Blvd, Pasadena, CA 911073464 | 6265641613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295292282 | Joseph E Davis Jr. | Specialist/Technologist | 11 Municipal Dr, Scarborough, ME 04074-8263 | 2019-02-26 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1568950822 | Joseph W Davis | Licensed Vocational Nurse | 2731 Worrell Ave, Pampa, TX 79065-1237 | 2018-04-23 |
| 1578093209 | Joseph R Davis | Specialist/Technologist | 6015 Murray Dr, Hanahan, SC 29410-2241 | 2017-06-15 |
| 1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
| 1487093910 | Joseph Anthony Davis | Acupuncturist | 653 65th St, Oakland, CA 94609-1036 | 2013-06-18 |
| 1285879593 | Joseph Davis | Pharmacist | 125 Graham Ave, Brooklyn, NY 11206-2667 | 2008-12-16 |
| 1710158233 | Joseph Davis | Specialist/Technologist | 1045 W Stephenson Street, Freeport, IL 61032 | 2008-03-13 |
| 1356552418 | Joseph Marcus Davis IIi | Marriage & Family Therapist | 9171 Wilshire Blvd Ste 615, Beverly Hills, CA 90210-5515 | 2007-05-24 |
| 1053421586 | Joseph Leslie Davis | Family Medicine | 2807 36th Ave, Longview, WA 98632-5309 | 2006-08-30 |
| Street Address |
520 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063609782 | Ross Githens | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2007-09-26 |
| 1568940161 | Brianna London Duron | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2018-08-06 |
| 1881105716 | Clint Davis Counseling LLC | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2017-10-18 |
| 1477088532 | Peridot Gilbert | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2017-04-26 |
| 1629529292 | Volunteers of America North Louisiana | Community/Behavioral Health | 520 Olive St, Shreveport, LA 71104-2312 | 2016-10-19 |
| 1063887594 | Patricia Carr | Counselor | 520 Olive St, Ste. 201, Shreveport, LA 71104-2312 | 2015-12-09 |
| 1063764660 | Brandy Renee Walker | Counselor | 520 Olive St, Shreveport, LA 71104 | 2012-10-05 |
| 1124389838 | Volunteers of America of North Louisiana | In Home Supportive Care | 520 Olive St, Shreveport, LA 71104-2312 | 2012-05-30 |
| 1336438746 | Volunteers of America of North Louisiana | Community/Behavioral Health | 520 Olive St, Ste. A203, Shreveport, LA 71104-2312 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1528689213 | Whitfield Counseling Services | Counselor | 2924 Knight St Ste 410, Shreveport, LA 71105-2413 | 2020-05-04 |
| 1376172908 | Lajuana Stephens | Counselor | 7318 Winder Dr, Shreveport, LA 71129-4013 | 2020-04-06 |
| 1417503723 | Beyond The Crossroads Counseling Center, LLC | Counselor | 3321 Youree Dr Ste E, Shreveport, LA 71105-2123 | 2019-08-13 |
| 1336702950 | Terrance Toney Sr. | Counselor | 272 E 78th St, Shreveport, LA 71106-5602 | 2019-04-18 |
| 1922564327 | Briana A Craige | Counselor | 6009 Financial Plz # 102, Shreveport, LA 71129-2615 | 2019-02-11 |
| 1518434182 | Road To Change | Counselor | 2620 Centenary Blvd Ste 204, Shreveport, LA 71104-3350 | 2018-10-31 |
| 1619455649 | Kindled Keys of Counseling, LLC | Counselor | 1737 Boykin Blvd, Shreveport, LA 71107-6108 | 2018-08-01 |
| 1174040646 | Khakillya Babers Everett | Counselor | 8214 Green Leaf Ln, Shreveport, LA 71108-5738 | 2017-08-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on JOSEPH CLINTON 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.