Lydell Stacey Davis
Lydell Stacey Davis is a Mental Health Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1629 W Ruscomb StPhiladelphia, PA 19141-1539
Phone: (215) 888-1524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1083487409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2023 |
| Last updated in NPPES | November 7, 2023 |
| Certification date | November 7, 2023 |
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