Andrea Davis LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ANDREA DAVIS LLC

Doing business as

Davis Art Therapy and Counseling

Practice address

2007 N Collins Blvd Ste 411
Richardson, TX 75080-2665

Phone

(972) 544-6633

Fax

(214) 237-1269

NPI assigned

Aug 31, 2024

Organization subpart

No

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

Authorized official

Name

Miss Andrea Marie Davis, LPC-S, ATR-BC, ATCSNPI 1750311379

Title

Owner

Phone

(682) 252-2590

Specialties & licenses 3

Addresses

Other names 1

• Davis Art Therapy and Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Andrea Marie Davis, LPC-S, ATR-BC

  • Professional Counselor
  • Richardson, TX
  • NPI 1750311379
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1649004508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 GROVELAND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184217",
            "telephone_number": "682-252-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N COLLINS BLVD STE 411",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802665",
            "telephone_number": "972-544-6633",
            "fax_number": "214-237-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA DAVIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-252-2590",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC-S, ATR-BC, ATCS"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Art Therapy and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.