Active NPIIndividual providerSole proprietor

Olivia Davenport

Counselor, Mental Health in Mansfield Center, Connecticut

NPI Number1083420640
Practice location
6 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1644
Fax
—
Last updated
December 9, 2024

Olivia Davenport is a Counselor, Mental Health based in Mansfield Center, CT. Olivia Davenport practices in Mansfield Center, CT. The NPI Number for Olivia Davenport is 1083420640 and holds a License No. 6555 (CT). The current practice location address for Olivia Davenport is 6 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1644 and can be reached out via phone at 860-833-2657.

Provider Profile Details

NPI Number
1083420640
Provider Name
Olivia Davenport
Provider Entity Type
Individual
Gender
Female
Address
6 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1644
Phone Number
860-833-2657
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 9, 2024
Last Update Date
December 9, 2024
Certification Date
December 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Ledgebrook Dr Fl 2
Mansfield Center, CT 06250-1644
Zip
06250-1644
Phone Number
860-833-2657
Mansfield Center, CT 06250Get directions →

Provider Business Mailing Address Details

Address
6 Ledgebrook Dr
Mansfield Center, CT 06250-1644
City
Mansfield Center
State
CT
Zip
06250-1644

License Information

License Number
6555
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Olivia Davenport?

The NPI number of Olivia Davenport is 1083420640. It was assigned on December 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Olivia Davenport?

Olivia Davenport is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 6555.

Where does Olivia Davenport practice?

The practice location is 6 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1644. The office can be reached at 860-833-2657 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083420640 directly on the NPPES registry website.

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