Tawana Toneke Olds-Davis, L.C.S.W

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904006149 Issued in VA

Practice address

4305 Hillbrook Ave
Richmond, VA 23231

Phone

(804) 432-2153

NPI assigned

Jun 11, 2007

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)

Enrolled

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.

• Three Acts to Healing LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1104538859
  NPD Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1407050982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 HILLBROOK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312140",
            "telephone_number": "804-441-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 HILLBROOK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23231",
            "telephone_number": "804-432-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS-DAVIS",
        "first_name": "TAWANA",
        "middle_name": "TONEKE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904006149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Dominion Physical Medicine PLLC
• Old Glory Home Health Care & Assistive Care
• Old Glory Personalized Health
• Robert A. Older, M.D.
• Sarah Katherine Oldham, PA, RDN
• Tiffany P Olds, LCSW
• Kathleen Oleson, PCNP
• Bright Nnamdi Olewe
• George Anthony Oley III, DDS
• Mark Oley Jr., PHARM.D.

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.