Shantone V Toliver Davenport Sapphire Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHANTONE V TOLIVER DAVENPORT SAPPHIRE COUNSELING

Practice address

2546 Stormy Cir
Navarre, FL 32566-9060

Phone

(904) 704-0411

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shantone DavenportNPI 1033620299

Title

LMHC

Phone

(904) 704-0411

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shantone Toliver Davenport, MS, LMHC

  • Mental Health Counselor
  • Navarre, FL
  • NPI 1033620299
  NPD Authorized official

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1528653235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 STORMY CIR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 STORMY CIR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669060",
            "telephone_number": "904-704-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTONE V TOLIVER DAVENPORT SAPPHIRE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "SHANTONE",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "904-704-0411"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shantone12345@yahoo.com",
            "affiliation": "N",
            "address_1": "2546 Stormy Cir",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325669060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Navarre, FL
• Providers in Navarre, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.