Sky D Davenport
Individual provider Active NPI Mental Health Counselor · Brandon, MS
NPI 1023747870 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1023747870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 613 Marquette Rd
Brandon, MS 39042-3038 - Phone
- (601) 824-1692
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
613 Marquette Rd
Brandon, MS 39042-3038
Mailing address
PO Box 88
Brandon, MS 39043-0088
Phone (601) 824-1692
Other providers in Brandon, MS
- Jacob Blake Daniels
- Jessica Dansby
- Jessica Deloise Darby
- Datin Medical Supply
- Datin Medical Supply
- Davis Dental Clinic
- Anthony Davis
- Ashton Gwyneth Davis
- Belinda Davis
- Belinda Davis
All providers in Brandon, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. 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.