MR. WADE WILLIAM DAVIS (NPI# 1669505863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669505863 |
Entity Type | Individual |
Full Name | MR. WADE WILLIAM DAVIS |
Credential | MFT |
Practice Address |
3351 Primera Ave Apt 6 Los Angeles CA 90068-1558 |
Practice Telephone | 3238517573 |
Practice Fax Number | 3236657903 |
Mailing Telephone | 3238517573 |
Mailing Fax Number | 3236657903 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | MFT31550 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE OF CALIFORNIA | ZZZ53700Z | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437152261 | Wade Taylor Davis IIi | Dentist | 1115 Hicks Blvd, Fairfield, OH 45014-2889 | 2005-05-24 |
1134652159 | Wade Davis | Family Medicine | 257 Biltmore Ave, Asheville, NC 28801-4120 | 2017-04-06 |
1619272598 | Wade Allen Davis | Chiropractor | 604 Ogden St, Ste 202, Somerset, KY 42501-1795 | 2011-01-24 |
Street Address |
3351 PRIMERA AVE APT 6 |
City | LOS ANGELES |
State | CA |
Zip Code | 90068-1558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083029367 | Valley Creek Hospice, Inc. | Hospice Care, Community Based | 3179 Barbara Court, F, Los Angeles, CA 90068 | 2014-06-25 |
1376892299 | Julio C Rivas | Religious Nonmedical Practitioner | 6800 Treasure Trail, Los Angeles, CA 90068 | 2012-09-06 |
1477817708 | Beverly Hansen Weisblatt | Marriage & Family Therapist | 6491 Ivarene Ave., Los Angeles, CA 90068 | 2012-07-02 |
1306169180 | Kambiz Kamangar | Dentist | 3400 Cahuenga Bvld West, #310, Los Angeles, CA 90068 | 2010-03-08 |
1578891370 | Stepping Stones Pediatric Therapy | Home Health | 3301 Tareco Drive, Los Angeles, CA 90068 | 2009-12-07 |
1376724757 | Jonathan Everett Rubinow | Preventive Medicine | 2759 Creston Dr, Los Angeles, CA 90068 | 2007-11-14 |
1366653479 | Julie Elizabeth Berghofer | Music Therapist | 3855 Broadlawn Dr, Los Angeles, CA 90068 | 2007-05-24 |
1467484287 | Lanny Orlin | Marriage & Family Therapist | 3171 Los Feliz Blvd, Suite 200, Los Angeles, CA 90068 | 2006-07-06 |
1396880514 | Back In Balance Physical Therapy | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
1003941253 | Erin Mcguire | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
Find all providers in zip 90068 |
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 |
---|---|---|---|---|
1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90068 |
Please comment or provide details below to improve the information on MR. WADE WILLIAM 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.