CANDACE PETERSON DAVIS (NPI# 1154543783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154543783 |
| Entity Type | Individual |
| Full Name | CANDACE PETERSON DAVIS |
| Credential | LPC |
| Practice Address |
3821 Forrestgate Drive Dba Forsyth Behavior Health Winston-salem NC 27103 |
| Mailing Address |
2000 Frontis Plaza Blvd Suite 200 (forsyth Medical Group) Winston-salem NC 27103-5616 |
| Practice Telephone | 3362771811 |
| Mailing Telephone | 3362772435 |
| Mailing Fax Number | 3362779275 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
706 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3871 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306182423 | Candace Marie Davis | Counselor | 10525 N Mckinley Ave, Oklahoma City, OK 73114-5117 | 2012-12-17 |
| 1699818401 | Candace M. Davis | Chiropractor | 1777 N. Bellflower Blvd., Suite 107, Long Beach, CA 90815-4013 | 2007-02-14 |
| 1285247882 | Candace Ann Davis | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2020-08-25 |
| 1447878442 | Candace Renee Davis | Behavior Technician | 1710 Moores Ln, Texarkana, TX 75503-1858 | 2020-07-07 |
| 1396142220 | Candace Davis | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-11-20 |
| 1043536956 | Candace C Davis | Occupational Therapist | 930 20th St S, Suite 101, Birmingham, AL 35205-2610 | 2010-04-16 |
| Street Address |
3821 FORRESTGATE DRIVE DBA FORSYTH BEHAVIOR HEALTH |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750403853 | Richard Theodore Maas | Counselor | 3821 Forrestgate Drive, Winston-salem, NC 27103 | 2007-04-06 |
| 1851513485 | Carolyn Allen Harper | Registered Nurse | 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 | 2007-05-03 |
| 1356563902 | Amie Anderson Buffkin | Registered Nurse | 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 | 2007-05-03 |
| 1689896235 | Katie West Every | Marriage & Family Therapist | 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 | 2007-05-03 |
| 1831311406 | Todd Clark | Marriage & Family Therapist | 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 | 2007-05-03 |
| 1902027691 | Patty Ann Weisz | Registered Nurse | 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912309907 | Winford Brown Ramseur & Associates | Counselor | 4680 Brownsboro Road Ste D, Winston-salem, NC 27106 | 2014-09-22 |
| 1548660251 | Meghan Berger | Counselor | 4630 Brownsboro, A2, Winston-salem, NC 27106 | 2014-08-29 |
| 1003142076 | Alanna Alexander Zambrano | Counselor | 601 N. Cherry St., Suite 300, Winston-salem, NC 27101-2933 | 2009-10-27 |
| 1487814075 | Daniel Patrick Bayait | Counselor | 206 N. Spruce St., Suite 3, Winston-salem, NC 27101-2747 | 2008-06-17 |
| 1770788366 | Cynthia Davis Stewart | Counselor | Nc Baptist Hospital Care Coordination Department, Medical Center Boulevard, Winston-salem, NC 27157 | 2007-06-15 |
| 1295954899 | Youth Opportunities Incorporated | Counselor | 1401 Clemmonsville Road, Winston-salem, NC 27127-5915 | 2007-04-24 |
| 1285790014 | Youth Opportunities | Counselor | 2020 E. 12th St., Winston-salem, NC 27101-1805 | 2006-12-28 |
| 1629154695 | Ruth Louise Rosenbaum | Counselor | 1316 Ashley Sq., Center of Well-being, Winston-salem, NC 27013 | 2006-10-31 |
| 1194809707 | Timothy Mark Pittman | Counselor | 8011 North Point Blvd Ste 104, Winston-salem, NC 27106 | 2006-10-24 |
| 1891093993 | Pittman Consulting & Profession Services, Pllc | Counselor | 8011 North Point Blvd Ste 104, Winston-salem, NC 27106 | 2011-03-14 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on CANDACE PETERSON 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.