STELLANDA M DAVIS (NPI# 1336358951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336358951 |
| Entity Type | Individual |
| Full Name | STELLANDA M DAVIS |
| Credential | LMSW, MFT |
| Practice Address |
17280 Highway 17 South Lexington MS 39095-0479 |
| Mailing Address |
8596 Brozville Rd Lexington MS 39095-6856 |
| Practice Telephone | 6628341857 |
| Practice Fax Number | 6628344937 |
| Mailing Telephone | 6628344061 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | M4543 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSE SOCIAL WORKER | M4543 | 01 |
| MS | MASTER LICENSE SOCIAL WOR | T0261 | 01 |
| Street Address |
17280 HIGHWAY 17 SOUTH |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-0479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831150531 | Harsh Doshi | Family Medicine | 17280 Highway 17 South, Lexington, MS 39095 | 2006-03-31 |
| 1235347121 | Edith Wade | Dietitian, Registered | 17280 Highway 17 South, Lexington, MS 39095-0479 | 2007-05-21 |
| 1740308873 | Mallory Community Health | Clinic/Center | 17280 Highway 17 South, Lexington, MS 39095 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740735786 | Kasey Puckett | Marriage & Family Therapist | 2525 Danielle Ln, Lexington, KY 40509 | 2016-08-19 |
| 1477937795 | Rachel Gilbert | Marriage & Family Therapist | 501 Darby Creek Rd Ste 50, Lexington, KY 40509-2610 | 2015-07-16 |
| 1639560014 | Hope Springs Counseling Center | Marriage & Family Therapist | 1081 Dove Run Rd Ste 202, Lexington, KY 40502-3500 | 2015-02-06 |
| 1609265263 | Tracey Werner-wilson | Marriage & Family Therapist | 206 Scovell Hl, Lexington, KY 40506-0001 | 2015-01-20 |
| 1427469253 | Job Juarez | Marriage & Family Therapist | 4390 Clearwater Way Apt 409, Apt 409, Lexington, KY 40515-6369 | 2014-05-14 |
| 1922425636 | Jillian Hawks | Marriage & Family Therapist | 750 Shaker Dr, #322, Lexington, KY 40504-3745 | 2014-03-20 |
| 1003241035 | Thomas-peeples & Associates, Psc | Marriage & Family Therapist | 106 Dennis Dr, Lexington, KY 40503-2917 | 2013-09-10 |
| 1639375538 | Cynthia Brody | Marriage & Family Therapist | 582 Massachusetts Ave, Lexington, MA 02420-4022 | 2007-06-26 |
| 1427266626 | Helen C Crews | Marriage & Family Therapist | 1944 Fontaine Rd, Lexington, KY 40502-1942 | 2007-05-19 |
| 1811046378 | Paul David Greene | Marriage & Family Therapist | 521 Lanarkshire Pl, Lexington, KY 40509-2294 | 2007-01-10 |
| Find all providers in LEXINGTON | ||||
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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.