Haydon-Davis Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7677 Issued in FL

Legal business name

HAYDON-DAVIS COUNSELING, INC.

Practice address

305 Kingsley Lake Dr
Suite 702
St Augustine, FL 32092-3043

Phone

(904) 716-5619

Fax

(248) 751-5913

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Gwendolen H Davis, LCSW

Title

President

Phone

(904) 716-5619

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1679012439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600003",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322600003",
            "telephone_number": "904-716-5619",
            "fax_number": "248-751-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 KINGSLEY LAKE DR",
            "address_2": "SUITE 702",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923043",
            "telephone_number": "904-716-5619",
            "fax_number": "248-751-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDON-DAVIS COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GWENDOLEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-716-5619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hathor Inc
• Emily Hattory, RBT
• Havlicek Chiropractic Inc
• Bradley Havlicek, D.C.
• Michael Joseph Havro, PA-C
• Gabrielle Haye
• Emmeline Hayes, LMHC
• Leilani Melissa Hayes, L.M.T.; L.P.N.
• Jontie Renee Hays, LCSW
• Elizabeth Ann Hayward, MSW

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.