Glenda Joyce Davis, LPC, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1003023 Issued in AR

Practice address

4257 N Gabel Dr Ste 2B
Fayetteville, AR 72703-5038

Phone

(479) 738-7059

Fax

(799) 354-5734

NPI assigned

Feb 25, 2008

Last updated

Feb 26, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1336318260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3381",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727023381",
            "telephone_number": "479-738-7059",
            "fax_number": "479-935-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 N GABEL DR STE 2B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035038",
            "telephone_number": "479-738-7059",
            "fax_number": "799-354-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GLENDA",
        "middle_name": "JOYCE",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1003023",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1003023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon S Davis, PHARMD
• Cody W Davis, LPC-S
• Daryn Davis
• Dina Ruth Davis, OD
• Elizabeth Davis, DPT
• Heather Davis, MHPP
• Jessica Lea Davis
• Jonathan L. Davis, M.D.
• Kaitlyn Davis
• Katie Davis

• Mental Health Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.