TREVER D DAVIS


Address: 771 Alfonse Rd, Clarkdale, AZ 86324-7402
Phone: (928) 458-6198

TREVER D DAVIS (NPI# 1720597941) 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) 1720597941
Entity Type Individual
Full Name TREVER D DAVIS
Credential DBH, LAC
Practice Address 771 Alfonse Rd
Clarkdale
AZ 86324-7402
Practice Telephone (928) 458-6198
Mailing Telephone 9284586198
Enumeration Date 2017-09-20
Last Update Date 2017-09-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor LAC-13121 AZ Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LAC-13121 AZ Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
LAC-13121 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 771 ALFONSE RD
City CLARKDALE
State AZ
Zip Code 86324-7402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497038251 Taxi and Touring Sedona Private Vehicle 516 2nd North Street, Clarkdale, AZ 86324 2011-09-27
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1053797159 Maya Radoccia-kennen Lactation Consultant, Non-RN 510 Main St, Clarkdale, AZ 86324 2015-07-31
1861684110 Clarkdale-jerome Elementary School District #3 Local Education Agency (LEA) 1615 Main St, Clarkdale, AZ 86324 2007-08-10
1801879697 David Richard Moore Chiropractor 915 Main St, Clarkdale, AZ 86324-0667 2005-11-25
1659346179 Kathleen Ann Berger Physical Therapist 26 N 10th St., Clarkdale, AZ 86324-1146 2006-02-19
1659694297 Tracy Reilly Speech-Language Pathologist 675 Cliffside Dr, Clarkdale, AZ 86324-3142 2010-03-10
1568810307 Annie Ngon Speech-Language Pathologist 628 Bootleg Rd, Clarkdale, AZ 86324-3326 2016-06-02
1023666997 Michelle Murie Foster Care Agency 567 Whistle Stop Rd, Clarkdale, AZ 86324-3374 2019-09-03
1932424314 Kristin Dunford Stump Nurse Practitioner 601 Black Hills Dr, Clarkdale, AZ 86324-3736 2010-03-29
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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NPI Name Taxonomy Address Enumeration
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1952902298 Karissa Lynn Whitlatch Counselor 3651 E Baseline Rd Ste E120, Gilbert, AZ 85234-2689 2020-11-03
1891395604 Helping Handz Counseling Services Outpatient Treatment Center Corp Counselor 3930 N 30th Ave, Phoenix, AZ 85017-4607 2020-10-30
1013517309 Gregory Clopton Counselor 12223 E Cloud Rd, Chandler, AZ 85249-3424 2020-10-27
1699375030 Crystal Marie Thomson Counselor 1405 E Guadalupe Rd Ste 3, Tempe, AZ 85283-3971 2020-10-26
1477152361 Jennifer L St. Clair Counselor 12211 W Bell Rd Ste 205, Surprise, AZ 85378-9522 2020-10-21
1528667953 George Olorunfemi Adeola Olusa Counselor 5651 S Mesquite Grove Way, Chandler, AZ 85249-9670 2020-10-17
1033717582 Erica Nicole Trocino Counselor 11811 W Softwind Dr, Sun City, AZ 85373-5029 2020-10-15
1124639414 Karissa Bruce Counselor 141 S Mccormick St Ste 103, Prescott, AZ 86303-4730 2020-08-11
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Competitor

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City CLARKDALE
Zip Code 86324

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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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