| Davis Therapeutic Services Llc | |
|
517 Keywood Cir Ste 2b Flowood MS 39232-3054 | |
| (601) 559-1880 | |
| (601) 559-1852 |
| Full Name | Davis Therapeutic Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 517 Keywood Cir Ste 2b, Flowood, Mississippi |
| Authorized Official Name and Position | Shameika Davis (CO-OWNER) |
| Authorized Official Contact | 6015026639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Therapeutic Services Llc 517 Keywood Cir Ste 2b Flowood MS 39232-3054 Ph: (601) 559-1880 | Davis Therapeutic Services Llc 517 Keywood Cir Ste 2b Flowood MS 39232-3054 Ph: (601) 559-1880 |
| NPI Number | 1073072013 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 5193052512 |
|---|---|
| Medicare Enrollment ID | O20190808000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073072013 | NPI | - | NPPES |
| Provider Name | Shameika Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801308382 PECOS PAC ID: 0446587174 Enrollment ID: I20190802002928 |
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