Provider Information for 1477104339
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KALEY DAVIS LCMHC
Sex: Female
NPI: 1477104339
Last Updated: 2022-06-29
Certification Date: 2022-06-29
Certification Date: 2022-06-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1477104339 | ||||||||
| Enumeration Date | 2019-09-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 507 CAROWILL DR GREENSBORO, NC 27455-3382 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 905 MCCLELLAN PL GREENSBORO, NC 27409-8930 United States Phone: 336-370-9400 | Fax: | ||||||||
| Secondary Practice Address(es) | 247 W KINGS HWY | ||||||||
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