Davis, Athena J.

Davis, Athena J. is an sole proprietor health care provider with primary practice located at 5412 Glenside Dr Ste F , Henrico VA 23228-3995. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Athena J. can be contacted via phone (804) 282-5880.

Contact Information

Primary practice address
5412 Glenside Dr Ste F Henrico VA 23228-3995
Phone: (804) 282-5880
Fax: (804) 288-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004318 Virginia

Profile Details

NPI number 1326306911
LBN Legal business name Davis, Athena J.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326306911 NPPES
Virginia MEDICAID 1306859988

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