Davis, Tanaeyah Olivia

Davis, Tanaeyah Olivia is an sole proprietor health care provider with primary practice located at 2610 Industry Way , Lynwood CA 90262-4283. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Tanaeyah Olivia can be contacted via phone (310) 631-8004.

Contact Information

Primary practice address
2610 Industry Way Lynwood CA 90262-4283
Phone: (310) 631-8004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 99358 Georgia
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 99358 California

Profile Details

NPI number 1326699224
LBN Legal business name Davis, Tanaeyah Olivia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2019
Last updated Aug 8th, 2023 - about 2 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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