Natasha Davidson, LLMSW

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

6801100067 Issued in MI

Practice address

5699 Genesee Rd
Lapeer, Mi
Lapeer, MI 48446-2749

Phone

(810) 969-4561

NPI assigned

Aug 1, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Network Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Nunica, MI
  • NPI 1043295934

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1043763675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FOX HILL DR",
            "address_2": "APT 7",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395244",
            "telephone_number": "810-969-4561",
            "fax_number": "810-969-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 GENESEE RD",
            "address_2": "LAPEER, MI",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462749",
            "telephone_number": "810-969-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "NATASHA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801100067",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "6801100067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Alan Daig, PA
• Darlene Frances Daly, DO
• Jackson Daly
• Daniel & Max, LLC
• Darlene F Daly DO PC
• Davis & Davis Management Group LLC
• Julie Ann Davis, MA CCC-A
• Terrence Davis Jr.
• Daysailor Counseling and Wellness LLC
• Katarina Rae Dean, CNM

• Mental Illness Community Based Residential Treatment Facility in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.