Davis, Brenda L

Davis, Brenda L is an individual health care provider with primary practice located at 3217 Western Branch Blvd. Suites C And D, Chesapeake VA 23321-5235. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Brenda L can be contacted via phone (757) 956-6100.

Contact Information

Primary practice address
3217 Western Branch Blvd. Suites C And D Chesapeake VA 23321-5235
Phone: (757) 956-6100
Fax: (757) 956-6101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003883 Virginia

Profile Details

NPI number 1144371857
LBN Legal business name Davis, Brenda L
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Nov 19th, 2019 - about 5 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 1144371857 NPPES
Virginia MEDICAID 1144371857

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