| Davis-smith Mental Health Provider, Ltd. | |
|
100 Batson Ct Ste 206 New Lenox IL 60451-1565 | |
| (309) 696-7584 | |
| Not Available |
| Full Name | Davis-smith Mental Health Provider, Ltd. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Batson Ct Ste 206, New Lenox, Illinois |
| Authorized Official Name and Position | Jessica Nichole Davis (PRESIDENT/COUNSELOR) |
| Authorized Official Contact | 3096967584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis-smith Mental Health Provider, Ltd. 14453 Stately Oaks Cir Homer Glen IL 60491-9394 Ph: () - | Davis-smith Mental Health Provider, Ltd. 100 Batson Ct Ste 206 New Lenox IL 60451-1565 Ph: (309) 696-7584 |
| NPI Number | 1932622974 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 07/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932622974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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