CANDACE ANN DAVIS (NPI# 1285247882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285247882 |
| Entity Type | Individual |
| Full Name | CANDACE ANN DAVIS |
| Credential | MD, LLPC |
| Practice Address |
1090 N 10th St Ste 110 Kalamazoo MI 49009-5733 |
| Practice Telephone | 2693754363 |
| Mailing Telephone | 2693754363 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401018432 | MI | 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 |
| 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 |
| 1154543783 | Candace Peterson Davis | Counselor | 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 | 2007-05-03 |
| Street Address |
1090 N 10TH ST STE 110 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114254570 | Deborah Marie Pawell | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2009-11-05 |
| 1114525896 | Emma Trobeck | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2020-10-14 |
| 1447867122 | Lisa Marie Dekryger | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2020-09-28 |
| 1801450523 | Cynthia Ellen Grimmer | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2019-04-29 |
| 1578033528 | Dianna Lynn Crawford | Social Worker | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2018-12-03 |
| 1700370707 | Jillian Peyerk | Social Worker | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2018-06-21 |
| 1881185148 | Dennis Bond Goodrich | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2018-05-22 |
| 1942652730 | Stacey Venema | Social Worker | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2016-07-06 |
| 1306198254 | Ciji C Gamble | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2012-10-02 |
| 1548545437 | Teah Nicole Doyle | Counselor | 1090 N 10th St Ste 110, Kalamazoo, MI 49009-5733 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970069 | Jennelle Hines Counseling, Pllc | Counselor | 2511 Lomond Dr, Kalamazoo, MI 49008-2125 | 2020-10-19 |
| 1275151144 | Kalamazoo Cognitive and Behavioral Therapy Pllc | Counselor | 3516 Northfield Trl, Kalamazoo, MI 49009-5899 | 2020-07-08 |
| 1386273225 | Casey Slager | Counselor | 120 Lanark Ct, Kalamazoo, MI 49006-4357 | 2020-04-03 |
| 1104452002 | Susan G Mattice | Counselor | 1030 Campbell Ave, Kalamazoo, MI 49006-3082 | 2020-03-23 |
| 1336774421 | Deanna Thompson | Counselor | 124 Remine St, Kalamazoo, MI 49001-3640 | 2020-03-09 |
| 1073148185 | Cierra L Patrick | Counselor | 4210 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2020-03-09 |
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1295391829 | Stephanie Hyer | Counselor | 2338 S Rose St, Kalamazoo, MI 49001-3621 | 2019-05-20 |
| 1598264277 | Lance Brandon Bettison | Counselor | 157 S Kalamazoo Mall Ste 250, Kalamazoo, MI 49007-4828 | 2018-02-07 |
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| Find all providers in KALAMAZOO | ||||
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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.