Active NPI
Leslie Baylis Davis, ED.D, PSC.D.
- Pastoral Counselor
- Hattiesburg, MS
National Provider Identifier
1376182303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- L26846245
- Practice address
- 70 Nubb Rainey Rd
Hattiesburg, MS 39401-8188 - Phone
- (912) 659-5045
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | L26846245 | TX | Primary |
Addresses
Primary practice location
70 Nubb Rainey Rd
Hattiesburg, MS 39401-8188
Mailing address
70 Nubb Rainey Rd
Hattiesburg, MS 39401-8188
Phone (912) 659-5045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L26846245 | TX | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1376182303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 NUBB RAINEY RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018188",
"telephone_number": "912-659-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 NUBB RAINEY RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018188",
"telephone_number": "912-659-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LESLIE",
"middle_name": "BAYLIS",
"name_prefix": "Dr.",
"credential": "ED.D, PSC.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": "L26846245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.