Davonna Marie Nichols-brown, is a
Counselor - Mental Health based in Brandon, Florida. Davonna Marie Nichols-brown is licensed to practice in Florida (license number SW25253) and her current practice location is
126 Lithia Pinecrest Rd Ste 102, Brandon, Florida. She can be reached at her office (for appointments etc.) via phone at
(863) 535-6414.
NPI number for Davonna Marie Nichols-brown is 1649156555 and her current mailing address is 5235 Ariva Dr Apt 204, Lakeland, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649156555.
Healthcare Provider's Profile
| Full Name | Davonna Marie Nichols-brown |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
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| Location | 126 Lithia Pinecrest Rd Ste 102, Brandon, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649156555
- Provider Enumeration Date: 08/14/2025
- Last Update Date: 01/27/2026
Medical Identifiers
Medical identifiers for Davonna Marie Nichols-brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649156555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | SW25253 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW25253 (Florida) | Primary |
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. Davonna Marie Nichols-brown 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 Address | Practice Location Address |
Davonna Marie Nichols-brown, 5235 Ariva Dr Apt 204, Lakeland, FL 33812-4445 Ph: () - | Davonna Marie Nichols-brown, 126 Lithia Pinecrest Rd Ste 102, Brandon, FL 33511-5347 Ph: (863) 535-6414 |
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