Lisa M. Davis, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4468 Issued in FL

Legal business name

LISA M. DAVIS, LLC

Practice address

351 6TH Ave W
Bradenton, FL 34205-8820

Phone

(941) 737-8897

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lisa M Davis, PH. D., LMHCNPI 1003366337

Title

Managing Member

Phone

(941) 737-8897

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa M Davis, L.M.H.C., PH.D.

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1003366337
  NPD Authorized official

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1972054476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "941-737-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "941-737-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. DAVIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "941-737-8897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Robert Linton Jr., M.D.
• Diane Linda Lipman
• Steven Lipman, MD
• Kevin P Lipscomb, M.D.
• Bruce R Lipskind, M.D.
• Lisa Shannon DO, PA
• Andrew Z. Liskiewicz, M.D.
• Listennow Hearing & Speech, LLC
• Carlo Mario Litano, D.M.D.
• Mario E Litano, M.D.

• Mental Health Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.