Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kacie Davis, SHIFTSUPVSR/MHPP

Individual provider Case Manager/Care Coordinator · NPI 1467644898

Kacie Davis, SHIFTSUPVSR/MHPP is a Case Manager/Care Coordinator in Benton, Arkansas. Works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2007

Practice location Address checks out

1502 Mary Kay Blvd
Benton, AR 72015-5199
Phone: (501) 315-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Pearson, Benton, AR 72015-4436 — (501) 315-4224

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (AR)

Record details

NPI number1467644898
Entity typeIndividual (Type 1)
GenderMale
Credentials SHIFTSUPVSR/MHPP
Sole proprietorNo
NPI enumeratedAugust 9, 2007
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

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