Davis-Smith Mental Health Provider, Ltd.

NPI #1932622974 in New Lenox, Illinois

Provider Information

NPI Number: 1932622974
Entity Type: Organization
Organization Name: Davis-Smith Mental Health Provider, Ltd.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 21, 2017
Last Updated: Jul 21, 2017

Practice Location

Address: 100 BATSON CT STE 206
City: New Lenox
State: Illinois
ZIP Code: 60451-1565
Phone: (309) 696-7584

Authorized Official

Name: JESSICA NICHOLE DAVIS, LCPC
Title: PRESIDENT/COUNSELOR
Phone: (309) 696-7584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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