| Joanna R. Davis, Lmhc Cap | |
|
124 E Miracle Strip Pkwy Suite 602 Mary Esther FL 32569-1988 | |
| (850) 243-7035 | |
| Not Available |
| Full Name | Joanna R. Davis, Lmhc Cap |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 124 E Miracle Strip Pkwy, Mary Esther, Florida |
| Authorized Official Name and Position | Maria Tumaneng (INSURANCE SPECIALIST/ASST. MANAGER) |
| Authorized Official Contact | 8502437035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna R. Davis, Lmhc Cap Po Box 879 Fort Walton Beach FL 32549-0879 Ph: () - | Joanna R. Davis, Lmhc Cap 124 E Miracle Strip Pkwy Suite 602 Mary Esther FL 32569-1988 Ph: (850) 243-7035 |
| NPI Number | 1578000683 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578000683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10454 (Florida) | Primary |
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