Davis, Carol Ann

Davis, Carol Ann is an sole proprietor health care provider with primary practice located at 104 Maxwell Ave Suite 227, Greenwood SC 29646-2641. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Carol Ann can be contacted via phone (864) 396-2810.

Contact Information

Primary practice address
104 Maxwell Ave Suite 227 Greenwood SC 29646-2641
Phone: (864) 396-2810
Fax: (864) 396-2810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1309 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006125 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9701 South Carolina

Profile Details

NPI number 1457527673
LBN Legal business name Davis, Carol Ann
Credentials LISW CP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated Nov 23rd, 2016 - about 8 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 1457527673 NPPES
North Carolina MEDICAID 6008307
North Carolina Other 10751529

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