LESLIE DAVIS


Address: 7 Eagle Ctr Ste B1, O Fallon, IL 62269-1946
Phone: (618) 726-2041

LESLIE DAVIS (NPI# 1255856282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255856282
Entity Type Individual
Full Name LESLIE DAVIS
Other Name LESLIE DAVIS
Credential MA, QMHP
Practice Address 7 Eagle Ctr Ste B1
O Fallon
IL 62269-1946
Practice Telephone (618) 726-2041
Practice Fax Number 6187262043
Mailing Telephone 6187262041
Mailing Fax Number 6187262043
Enumeration Date 2017-08-10
Last Update Date 2017-08-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers LESLIE DAVIS

NPI Name Taxonomy Address Enumeration
1376182303 Leslie Baylis Davis Counselor 70 Nubb Rainey Rd, Hattiesburg, MS 39401-8188 2019-12-20
1033458039 Leslie Davis Speech-Language Pathologist 12136 Kay Dr, Seminole, FL 33772-2600 2013-02-11
1972778330 Leslie Anntoinette Davis Marriage & Family Therapist 5139 Balboa Blvd, Unit 16, Encino, CA 91316 2008-04-28
1104041755 Leslie J Davis Nurse Practitioner 2205 Oak Ridge Rd Ste Aa-bb, Oak Ridge, NC 27310-8728 2007-04-16
1093888000 Leslie P Davis Physical Therapist 100 Winters St Ste 103, West Point, VA 23181-9534 2006-11-16
1053355214 Leslie I Davis Dentist 13802 W Camino Del Sol, Sun City West, AZ 85375-4486 2006-06-16
1396345690 Leslie Davis Pharmacist 602 Cibolo Valley Dr, Cibolo, TX 78108-3801 2020-10-27
1053977249 Leslie Erin Davis Physician Assistant 105 Keystone Cir, Vicksburg, MS 39183-3201 2019-05-14
1619437969 Leslie Davis Counselor 1278 Jungermann Rd Ste E, Saint Peters, MO 63376-6964 2019-03-22
1619484946 Leslie Davis Counselor 5302 Ball Camp Pike, Knoxville, TN 37921-3234 2018-01-09

Office Location

Street Address 7 EAGLE CTR STE B1
City O FALLON
State IL
Zip Code 62269-1946

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1942814272 Ashley Monique Gibson Behavior Technician Eagle Center, Ste 10, Ofallon, IL 62269 2020-09-03
1013533819 Michelle Denise Voudrie Registered Nurse 321 Regency Park, O'fallon, IL 62269 2020-06-18
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1962063800 Gerald Paskert Pharmacist 122 W. State St., O'fallon, IL 62269 2019-06-21
1780144808 Bonnie Jean Lampe Physical Therapy Assistant 316 Donna Dr, O'fallon, IL 62269 2019-03-24
1134633993 Latisha Smith Psychologist 600 S. Smiley St., O'fallon, IL 62269 2017-11-30
1619407210 Brenna M Thomas Registered Nurse 1310 Engle Ct, O'fallon, IL 62269 2017-06-15
1881135622 Pc Associates, LLC Family Medicine 800 East Highway 50, O'fallon, IL 62269 2017-03-13
1700230539 Jennifer Farrell Family Medicine 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 2016-04-18
Find all providers in zip 62269

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922628163 Amy Adelsberger Bareiter Counselor 1253 Ruppel Ln, O Fallon, IL 62269-7163 2020-04-17
1407345192 Dominique Marie Wilson Counselor 785 Wall St # 200, O Fallon, IL 62269-1959 2018-05-08
1043672512 Ashley Dawn Amburn Counselor 938 Evan Dr, O Fallon, IL 62269-3471 2016-03-24
1164892253 Geries Shaheen Counselor 6730 Hickory Tree Ln, O Fallon, MO 63368-8184 2015-10-01
1720268782 Carrie L Ryberg Counselor 1670 Essex Way, Suite A103, O Fallon, IL 62269-3063 2007-11-07
1073153698 Zane Alan Maus Counselor 311 S Main St Ste 100, O Fallon, MO 63366-2807 2020-01-11
1003455270 Amber Holt Counselor 1001 Boardwalk Springs Pl Ste 111, O Fallon, MO 63368-4777 2020-01-05
1770125650 Amber Bill Counselor 1137 N Main St Ste 2, O Fallon, MO 63366-1498 2019-10-12
1013478007 Amanda L Reed Counselor 1137 N Main St, O Fallon, MO 63366-1498 2019-03-31
1437626074 Michael Stier Therapy LLC Counselor 785 Wall St Ste 200, O Fallon, IL 62269-1959 2018-11-01
Find all providers in O FALLON

Competitor

Search similar providers

City O FALLON
Zip Code 62269

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Dataset Information

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.

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