| Tara L Davis, CNP, LPCC-S | |
|
1201 S Main St Ste 100, Canton, OH 44720-4283 | |
| (330) 244-8782 | |
| (330) 244-8795 |
| Full Name | Tara L Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1201 S Main St Ste 100, Canton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821118530 | NPI | - | NPPES |
| 11797385 | Other | OH | PSYCHIATRY |
| 0315885 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.023645 (Ohio) | Primary |
| 101YP2500X | Counselor - Professional | E.0008189-SUPV (Ohio) | Secondary |
| Entity Name | Avo Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619590882 PECOS PAC ID: 6406265735 Enrollment ID: O20210517001970 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Davis, CNP, LPCC-S 1201 S Main St Ste 100, Canton, OH 44720-4283 Ph: (330) 244-8782 | Tara L Davis, CNP, LPCC-S 1201 S Main St Ste 100, Canton, OH 44720-4283 Ph: (330) 244-8782 |
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 |
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W Ste 400, Canton, OH 44708 Phone: 330-458-2000 Fax: 330-458-2010 |
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785 |
Tayler Rae Schembechler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6076 Whipple Ave Nw, Canton, OH 44720 Phone: 330-305-5001 |
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911 |
Kenzie Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-9632 |
Douglas Kevin Stevens, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702 Phone: 330-445-2677 Fax: 330-455-2101 |