Davis, Octavia Fay

Davis, Octavia Fay is an sole proprietor health care provider with primary practice located at 3801 Canal St Ste 314 , New Orleans LA 70119-6082. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davis, Octavia Fay can be contacted via phone (504) 483-7243.

Contact Information

Primary practice address
3801 Canal St Ste 314 New Orleans LA 70119-6082
Phone: (504) 483-7243
Fax: (504) 483-7264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Community/Behavioral Health 251S00000X Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PLC9407 Louisiana

Profile Details

NPI number 1194091033
LBN Legal business name Davis, Octavia Fay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2012
Last updated Feb 9th, 2023 - about last year

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 1194091033 NPPES
Louisiana MEDICAID 721447520

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