Davis, Donna M

Davis, Donna M is an sole proprietor health care provider with primary practice located at 5950 Fairview Rd Ste 603 , Charlotte NC 28210-3113. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Davis, Donna M can be contacted via phone (704) 333-3341.

Contact Information

Primary practice address
5950 Fairview Rd Ste 603 Charlotte NC 28210-3113
Phone: (704) 333-3341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 215 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 392 North Carolina

Profile Details

NPI number 1023234218
LBN Legal business name Davis, Donna M
Credentials LCSW, LMFT, CSAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jan 22nd, 2019 - about 6 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 1023234218 NPPES
North Carolina Other 27532 BLUE CROSS PIN

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