Davis, Shane K

Davis, Shane K is an individual health care provider with primary practice located at 4515 26Th St W , Bradenton FL 34207-7200. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Davis, Shane K can be contacted via phone (269) 282-4298.

Contact Information

Primary practice address
4515 26Th St W Bradenton FL 34207-7200
Phone: (269) 282-4298
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH23035 Florida
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301013040 Michigan

Profile Details

NPI number 1689822686
LBN Legal business name Davis, Shane K
Credentials L.MHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Jan 11th, 2024 - about 8 months 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 1689822686 NPPES
Michigan Other 6301013040 LICENSE

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