Genice Collins Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH13714 Issued in FL

Practice address

Heads
100 E Baker Street #100
Plant City, FL 33563

Phone

(813) 754-5555

Fax

(813) 754-5552

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heads

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1851765580
  NPD (past)

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1265987416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 MERLOT DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33811",
            "telephone_number": "863-614-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEADS",
            "address_2": "100 E BAKER STREET #100",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33563",
            "telephone_number": "813-754-5555",
            "fax_number": "813-754-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS DAVIS",
        "first_name": "GENICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH13714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Coello Echeverry, MD
• Cogent Healthcare of Pensacola LLC
• Alisha Dawn Coker, APRN
• Michael S Coleman, M.D.
• Toni Marie Collado, D.D.S.
• Alexandra Collins, PMHNP-BC
• Comfortable Care Dental Health Professionals, P.a. (Dental Associates at Walden Woods)
• Comfortable Care Dental Health Professionals, PA (Plant City Dentistry)
• Community Aging & Retirement Services, Inc
• Community Home Partners, LLC

• Mental Health Counselor in Plant City, FL
• Providers in Plant City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.