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).
| 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 |
| 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 |
| Street Address |
771 ALFONSE RD |
| City | CLARKDALE |
| State | AZ |
| Zip Code | 86324-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038251 | Taxi and Touring Sedona | Private Vehicle | 516 2nd North Street, Clarkdale, AZ 86324 | 2011-09-27 |
| 1972898831 | Four Directions LLC | Respite Care | 540 E Raven Hill Rd, Clarkdale, AZ 86324 | 2011-06-17 |
| 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 |
| Find all providers in zip 86324 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508698 | Judith Osuagwu | Counselor | 16745 W Monroe St, Goodyear, AZ 85338-4534 | 2020-11-08 |
| 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 |
| 1215545207 | David M Becket | Counselor | 2675 W St Rte 89a # 1061, Sedona, AZ 86336-5240 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TREVER D 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.