MR. RICHARD DAVIS JR. (NPI# 1104370865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104370865 |
| Entity Type | Individual |
| Full Name | MR. RICHARD DAVIS JR. |
| Credential | CAC II, NCAC I |
| Practice Address |
3485 Promenade Pl Apt 101 Waldorf MD 20603-7280 |
| Practice Telephone | 3018486074 |
| Mailing Telephone | 3018486074 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CACII1201 | DC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553318 | Richard Elton Davis | Chiropractor | 641 Phillips Dr, Coppell, TX 75019-6059 | 2020-06-24 |
| 1902360936 | Richard Edmund Davis | Surgery | 328 S 1st St Ste F-g, Alhambra, CA 91801-3789 | 2019-01-23 |
| 1407357551 | Richard Davis IIi | Behavioral Analyst | 5829 Garden Ave, Olivehurst, CA 95961-7829 | 2018-02-23 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1932641925 | Richard Eugene Davis | Counselor | 4232 N I 35, Denton, TX 76207-3408 | 2016-11-08 |
| 1487021879 | Richard L. Davis | Counselor | 2523 Beartooth Dr, Billings, MT 59102-1201 | 2015-09-01 |
| 1164849378 | Richard Brian Davis | Speech-Language Pathologist | 756 S Woodland St, Orange, CA 92869-5201 | 2014-03-25 |
| 1043595333 | Richard Joe Davis | Hearing Instrument Specialist | 703 E Alameda Rd, Pocatello, ID 83201-3659 | 2011-10-18 |
| 1306004338 | Richard Allen Davis | General Acute Care Hospital | 1238 Meadowbank Rd, Villanova, PA 19085 | 2008-05-27 |
| 1699949602 | Richard Stephen Davis | Counselor | 967 State Highway 150, Parkman, ME 04443-3200 | 2008-04-22 |
| Street Address |
3485 PROMENADE PL APT 101 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-7280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861946527 | Just Enough LLC | Counselor | 3485 Promenade Pl, Apt 101, Waldorf, MD 20603-7280 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286488 | Sariah J Beatty | Counselor | 8766 Grassland Ct, Waldorf, MD 20603-4916 | 2020-05-13 |
| 1730692278 | The Institute for Emotional Regulation, LLC | Counselor | 3200 Crain Hwy Ste 205, Waldorf, MD 20603-4843 | 2017-11-07 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1326237876 | Tonyia Dee Johnson | Counselor | 3235 Leonardtown Rd, Waldorf, MD 20601-3614 | 2007-10-22 |
| 1437208535 | Clean and Sober | Counselor | 3475 Leonardtown Rd, Suite 102, Waldorf, MD 20601-3678 | 2007-01-09 |
| 1255814125 | Diversified Lifestyle Services | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601-3186 | 2018-09-07 |
| 1780178590 | Erica Cavin | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2018-06-15 |
| 1215430541 | Kathryn Alicia Johnson | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2018-03-13 |
| 1407362122 | Crystal Johnson | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2017-12-18 |
| 1861903783 | Kecia Q Wright | Counselor | 85 High St, Waldorf, MD 20602-2150 | 2017-10-18 |
| Find all providers in WALDORF | ||||
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| 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.