Mr James Sherwood Davis Jr, MS, CAS, LMHC | |
272 Maxwell Rd, Latham, NY 12110-4915 | |
(518) 438-9596 | |
(518) 438-9598 |
Full Name | Mr James Sherwood Davis Jr |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 272 Maxwell Rd, Latham, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487664082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 001187 (New York) | Primary |
Entity Name | Samaritan Counseling Center Of The Mohawk Valley, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377854 PECOS PAC ID: 8921083882 Enrollment ID: O20040623001086 |
Mailing Address | Practice Location Address |
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Mr James Sherwood Davis Jr, MS, CAS, LMHC 27 Latham Ridge Rd, Latham, NY 12110-3009 Ph: (518) 786-8225 | Mr James Sherwood Davis Jr, MS, CAS, LMHC 272 Maxwell Rd, Latham, NY 12110-4915 Ph: (518) 438-9596 |
Mrs. Katie Eileen Mclean, MS.ED., LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1182 Troy Schenectady Rd Ste 204, Latham, NY 12110 Phone: 518-400-5180 Fax: 518-940-4420 | |
Mr. Michael James Mcmahon, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Alpine Dr, Latham, NY 12110 Phone: 518-783-6538 | |
Cynthia A. Stone, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 6 Wellness Way Ste 112, Latham, NY 12110 Phone: 518-881-1109 Fax: 518-213-6985 | |
Kathleen Fishman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 New Loudon Rd, Suite 101, Latham, NY 12110 Phone: 518-608-4271 Fax: 518-608-4269 | |
Nadiia Pavlenko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Avis Dr Ste 101, Latham, NY 12110 Phone: 151-856-0427 Fax: 518-662-4277 | |
Nicole Richard, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Avis Dr Ste 100, Latham, NY 12110 Phone: 518-560-4277 Fax: 518-560-4277 | |
Marisa Johnson, Counselor Medicare: Medicare Enrolled Practice Location: 6 Wellness Way Ste 112, Latham, NY 12110 Phone: 518-881-1109 Fax: 518-213-6985 |