Davis, James Russell

Davis, James Russell is an sole proprietor health care provider with primary practice located at 555 West Granada Blvd D-4, Ormond Beach FL 32174-5100. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Davis, James Russell can be contacted via phone (386) 677-9001.

Contact Information

Primary practice address
555 West Granada Blvd D-4 Ormond Beach FL 32174-5100
Phone: (386) 677-9001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4467 Florida

Profile Details

NPI number 1215043252
LBN Legal business name Davis, James Russell
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers