Active NPI
George Anthony Daves, MA LPC
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1679912414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4947
- Practice address
- 8924 Jewella Ave
Shreveport, LA 71118-2100 - Phone
- (318) 707-1123
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4947 | LA | Primary |
Addresses
Primary practice location
8924 Jewella Ave
Shreveport, LA 71118-2100
Mailing address
9 Sterling Ranch Rd N
Haughton, LA 71037-8536
Phone (318) 707-1123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4947 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1679912414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 STERLING RANCH RD N",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710378536",
"telephone_number": "318-707-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8924 JEWELLA AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182100",
"telephone_number": "318-707-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVES",
"first_name": "GEORGE",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Alexandria Davenport
- Michael Patrick Davenport, PHD
- Monica Annette Davenport, DDS
- Shamicheal Davenport
- Sterling Davenport
- David a Scott MD and Willis-Knighton Medical Center
- David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation
- David Hudson MD and Willis-Knighton Medical Center
- David Hurtado de Mendoza, MD LLC
- David J Bellew DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.