Tresa Davis, MHPP/TEACHER
Individual provider Active NPI Case Manager/Care Coordinator · Bentonville, AR
NPI 1588098503 · NPPES record last updated Aug 27, 2013
Key facts
- NPI
- 1588098503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2003 SE Walton Blvd
Bentonville, AR 72712-3725 - Phone
- (479) 464-5925
- Fax
- (479) 464-4275
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2003 SE Walton Blvd
Bentonville, AR 72712-3725
Mailing address
4171 N Crossover Rd
Fayetteville, AR 72703-4591
Phone (479) 521-1427
Other providers in Bentonville, AR
- Kenneth Wayne Davis
- Letara Davis
- Manda J Davis
- Taylor Davis
- Tonya Davis
- William G. Davis II
- Sharon L Davison
- Megan Renea Day
- Dayspring Behavioral Health Services
- Dayspring Behavioral Health Services
All providers in Bentonville, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.