Mr Donald Davis I, LAC, CADAC II - Counselor in Plymouth, IN

Mr Donald Davis I, LAC, CADAC II is a Counselor - Addiction (substance Use Disorder) based in Plymouth, Indiana. Mr Donald Davis I is licensed to practice in Indiana (license number 86000001A) and his current practice location is 990 Illinois St, Plymouth, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 936-9646.

NPI number for Mr Donald Davis I is 1598193369 and his current mailing address is 850 N Harrison St, Warsaw, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598193369.

Contact Information

Mr Donald Davis I, LAC, CADAC II
990 Illinois St,
Plymouth, IN 46563-3622
(574) 936-9646
(574) 935-4773

Map and Direction


Healthcare Provider's Profile

Full NameMr Donald Davis I
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location990 Illinois St, Plymouth, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598193369
  • Provider Enumeration Date: 10/14/2013
  • Last Update Date: 10/14/2013

Medical Identifiers

Medical identifiers for Mr Donald Davis I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598193369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 86000001A (Indiana)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) CII-1433 (Indiana)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Donald Davis I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Donald Davis I, LAC, CADAC II
850 N Harrison St,
Warsaw, IN 46580-3163

Ph: (574) 267-7169
Mr Donald Davis I, LAC, CADAC II
990 Illinois St,
Plymouth, IN 46563-3622

Ph: (574) 936-9646

Reviews and Comments


Counselor in Plymouth, IN

Brittany Rude, MSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 990 Illinois St, Plymouth, IN 46563
Phone: 574-936-9646    
Mr. Chad Hacker, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 304 N Walnut St, Plymouth, IN 46563
Phone: 574-316-0201    Fax: 574-316-0201
Scott Kelley Barger, MSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 990 Illinois St, Plymouth, IN 46563
Phone: 574-936-9646    
Nathan Crawford,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 704 S Michigan St, Plymouth, IN 46563
Phone: 574-807-5467    
Geri Carlson, M.A., M.MIN.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8182 State Road 17, Plymouth, IN 46563
Phone: 574-941-2300    
Kelly E Bain-conkin, MS, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 310 N Michigan St, Suite 208, Plymouth, IN 46563
Phone: 574-935-9449    Fax: 574-935-3956
Laurie Norman, LMHC
Counselor
Medicare: Medicare Enrolled
Practice Location: 990 Illinois St, Plymouth, IN 46563
Phone: 574-936-9646    

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