Laura Irene Davis

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LAURA IRENE DAVIS

Practice address

6810 E Main St Ste 201
Reynoldsburg, OH 43068-2217

Phone

(614) 357-0686

Fax

(614) 725-0402

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Laura I Davis-Perry, LISW-SUPVNPI 1407293681

Title

Founder/Owner

Phone

(614) 586-3830

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Conquering Walls Counseling Agency, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura I Davis-Perry, LISW

  • Clinical Social Worker
  • Reynoldsburg, OH
  • NPI 1407293681
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1568085876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 E MAIN ST STE 201",
            "address_2": "MAILBOX #4",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682217",
            "telephone_number": "614-357-0686",
            "fax_number": "614-725-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 E MAIN ST STE 201",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682217",
            "telephone_number": "614-357-0686",
            "fax_number": "614-725-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA IRENE DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS-PERRY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "614-586-3830",
        "authorized_official_credential": "LISW-SUPV"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW-SUPV",
            "identifier": "I.1700380",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conquering Walls Counseling Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conquering Walls Counseling Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kingsley Ohene Larbi
• Tina Larkins-Berry, RN
• John N. Larrimer, M.D.
• Ellen Larsen
• Eden Lauffer, M.ED., ED.S.
• Innocent Lawani
• LBS International
• LBS International
• LBS International Inc Dba Friendly Care Agency
• LCRG Bros

• Adult Mental Health Clinic/Center in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.