MR. WADE WILLIAM DAVIS


Address: 3351 Primera Ave Apt 6, Los Angeles, CA 90068-1558
Phone: 3238517573

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFT31550 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE OF CALIFORNIA ZZZ53700Z 01

Other Providers WADE DAVIS

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

Office Location

Street Address 3351 PRIMERA AVE APT 6
City LOS ANGELES
State CA
Zip Code 90068-1558

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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
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City LOS ANGELES
Zip Code 90068

Improve Information

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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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