| Kaitlyn Nicole Davis, MED, LCMHC | |
|
501 Islington St Ste 2d, Portsmouth, NH 03801-4288 | |
| (603) 288-1254 | |
| Not Available |
| Full Name | Kaitlyn Nicole Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 501 Islington St Ste 2d, Portsmouth, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528512159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC06865 (Oklahoma) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2710 (New Hampshire) | Primary |
| Entity Name | Mkm Holdings, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124706791 PECOS PAC ID: 5698211613 Enrollment ID: O20240725002334 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Nicole Davis, MED, LCMHC 501 Islington St Ste 2d, Portsmouth, NH 03801-4288 Ph: (603) 288-1254 | Kaitlyn Nicole Davis, MED, LCMHC 501 Islington St Ste 2d, Portsmouth, NH 03801-4288 Ph: (603) 288-1254 |
Heath Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Joshua Steele Hagar, MS, LCPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Middle St, Portsmouth, NH 03801 Phone: 978-846-7144 | |
Rachel Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 | |
Abigail Gerbino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Juliana Defeo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Ms. Dana Patrice Peters, M.ED., M.L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Islington St, Portsmouth, NH 03801 Phone: 603-427-6858 Fax: 603-427-6555 | |
Kelly Lucinda Lee, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 Greenland Rd, Portsmouth, NH 03801 Phone: 603-717-6488 |