Lawonda Manette Davis, MA, LPC
Individual provider Active NPI Professional Counselor · Weldon Spring, MO
NPI 1003394503 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1003394503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2020037394 (MO)
- Practice address
- 13 Running Waters CT
Weldon Spring, MO 63304-2413 - Phone
- (636) 699-0636
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020037394 | MO | MD | Mental Health Counselor |
| 11637 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- lawondadavis@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2020037394 | MO | |
| Professional Counselor | 101YP2500X | 11637 | OK | |
| Professional Counselor | 101YP2500X | 2020037394 | MO | Yes |
Addresses
Primary practice location
13 Running Waters CT
Weldon Spring, MO 63304-2413
Mailing address
13 Running Waters CT
Weldon Spring, MO 63304-2413
Phone (636) 699-0636
Other providers in Weldon Spring, MO
- Gerald L Cox
- Joyce Ann Crangle
- Crider Chiropractic LLC
- Brittany Crouther
- Tami S Daigle
- Numpol Dejtiranukul
- Angela Desnoyer
- Different Way Counseling LLC
- Droege & Schram LLP
- Chester J Duchnowski Jr.
All providers in Weldon Spring, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.