LAURA IRENE DAVIS (NPI# 1568085876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568085876 |
| Entity Type | Organization |
| Organization Name | LAURA IRENE DAVIS |
| Practice Address |
2020 Brice Rd Ste 110 Reynoldsburg OH 43068-3448 |
| Mailing Address |
1725 Kenwick Rd Columbus OH 43209-3247 |
| Practice Telephone | 6147065099 |
| Practice Fax Number | 6148692397 |
| Mailing Telephone | 6145863830 |
| Mailing Fax Number | 6148692397 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | LAURA I DAVIS-PERRY (FOUNDER/OWNER) |
| Authorized Official Telephone | 6145863830 |
| Authorized Official Credential | LISW-SUPV |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LISW-SUPV | I.1700380 | 01 |
| Other Name | Type Code |
|---|---|
| Conquering Walls Counseling Agency, LLC | Doing Business As Name - Organization |
| Street Address |
2020 BRICE RD STE 110 |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
| 1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
| 1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
| 1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
| 1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| Find all providers in zip 43068 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188536 | Sea Glass Counseling and Consultation, LLC | Clinic/Center | 7757 Amberfalls Ct, Dublin, OH 43016-9041 | 2020-09-08 |
| 1447860903 | Recovery Works LLC | Clinic/Center | 2833 Cleveland Ave Nw, Canton, OH 44709-3203 | 2020-08-08 |
| 1598380453 | Courage To Heal Counseling LLC | Clinic/Center | 304 S Court St Ste A, Circleville, OH 43113-1604 | 2020-06-16 |
| 1477178846 | Small Behavioral Health Counseling | Clinic/Center | 1213 Coventry St, Akron, OH 44306-2229 | 2020-06-11 |
| 1265055693 | Sola Caritas | Clinic/Center | 2967 W 38th St, Cleveland, OH 44113-4803 | 2020-05-20 |
| 1417570946 | Flourish Counseling, LLC | Clinic/Center | 24757 Hawthorne Dr, Beachwood, OH 44122-2317 | 2020-05-19 |
| 1346869682 | 2020 Life Counseling LLC | Clinic/Center | 21724 Lorain Rd Ste 8, Fairview Park, OH 44126-3334 | 2020-04-15 |
| 1306407887 | Freedom Counseling, Coaching, and Consulting, LLC | Clinic/Center | 2174 Kelley Ln, Newark, OH 43055-8057 | 2019-06-25 |
| 1255997599 | Jana Bergfeld Lisw LLC | Clinic/Center | 1071 Fishinger Rd Ste 211, Columbus, OH 43221-2301 | 2019-05-13 |
| 1861056921 | Mobile Physician Services Inc. | Clinic/Center | 4031 Colonel Glenn Hwy Ste 133, Beavercreek Township, OH 45431-2774 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
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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.