MRS. DAWANDA DAVIS (NPI# 1730739384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730739384 |
| Entity Type | Individual |
| Full Name | MRS. DAWANDA DAVIS |
| Credential | LPC |
| Practice Address |
31 W 155th St Harvey IL 60426-3556 |
| Practice Telephone | 7085965177 |
| Mailing Telephone | 0859651777 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 178.015202 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 178015202 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Vollmer Rd Ste Aa2, Chicago Heights, IL 604111664 | 6302812496 | |
| 9875 W Lincoln Hwy Ste 104, Frankfort, IL 604231934 | 6302812496 |
| Street Address |
31 W 155TH ST |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199124 | Lisa K Wright | Pediatrics | 31 W 155th St, Harvey, IL 60426-3556 | 2005-07-28 |
| 1164084133 | Regina Channell Ruffin | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2019-06-30 |
| 1982176400 | Diana Funmilola Wells | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-12-21 |
| 1205311750 | Lashunda Denise Hill | Dental Hygienist | 31 W 155th St, Harvey, IL 60426-3556 | 2018-10-01 |
| 1013406180 | Mia Webster-cross | Registered Nurse | 31 W 155th St, Harvey, IL 60426-3556 | 2018-05-04 |
| 1538658547 | Eileen Mary Jurevis | Registered Nurse | 31 W 155th St, Harvey, IL 60426-3556 | 2018-05-04 |
| 1003303769 | Maira Ochoa | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-04-18 |
| 1043755697 | Beryl Armstrong | Counselor | 31 W 155th St, Harvey, IL 60426-3556 | 2017-01-05 |
| 1053855908 | Stephanie Liggons | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2016-12-12 |
| 1619324605 | Aishat Mobosola Adebisi | Obstetrics & Gynecology | 31 W 155th St, Harvey, IL 60426-3556 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| 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 |
|---|---|---|---|---|
| 1508483256 | Erica T Carr | Counselor | 3837 Mercer Ln, Harvey, LA 70058-2134 | 2020-06-29 |
| 1992331623 | Tracy Lynn Coleman | Counselor | 3437 E Parc Green St, Harvey, LA 70058-7032 | 2020-03-13 |
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1235638248 | Rochelle Irsch Keeling | Counselor | 2439 Manhattan Blvd Ste 309, Harvey, LA 70058-5360 | 2018-02-05 |
| 1700325818 | Heidi Leydecker | Counselor | 1517 Curtis St, Harvey, LA 70058-2413 | 2017-02-22 |
| 1891143814 | Travis Turnage | Counselor | 4252 Lac Bienville Dr, Harvey, LA 70058-5210 | 2016-05-31 |
| 1083076319 | Troy Donahue Lovely Jr. | Counselor | 3837 Patricia Ln, Harvey, LA 70058-5605 | 2016-03-25 |
| 1568837771 | Thomas Jones Jr. | Counselor | 2575 Whippletree Dr, Harvey, LA 70058-5002 | 2015-12-14 |
| 1962874719 | Elliott Love | Counselor | 3704 Morriswood Dr, Harvey, LA 70058-1931 | 2015-10-20 |
| 1184095556 | Samuel Lee Johnson IIi | Counselor | 2100 Woodmere Blvd Ste 135, Harvey, LA 70058-2294 | 2015-10-12 |
| Find all providers in HARVEY | ||||
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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.