- Practice location
- 11 N Main St, Randolph, VT 05060-1126
- Phone
- 802-728-4466
- Fax
- 802-728-4197
- Last updated
- August 1, 2007
Robert Davis is a Counselor, Mental Health based in Randolph, VT. Robert Davis practices in Randolph, VT and has the professional credentials of MED. The NPI Number for Robert Davis is 1154511459 and holds a License No. 0680000714 (VT). The current practice location address for Robert Davis is 11 N Main St, Randolph, VT 05060-1126 and can be reached out via phone at 802-728-4466 and via fax at 802-728-4197.
Provider Profile Details
- NPI Number
- 1154511459
- Provider Name
- Robert Davis
- Credential
- MED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 N Main St, Randolph, VT 05060-1126
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 1, 2007
- Last Update Date
- August 1, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 N Main St
Randolph, VT 05060-1126 - City
- Randolph
- State
- Vermont
- Zip
- 05060-1126
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
Provider Business Mailing Address Details
- Address
- 190 Sugar Plum CT
Randolph, VT 05060-9379 - City
- Randolph
- State
- VT
- Zip
- 05060-9379
- Phone Number
- 802-728-6459
License Information
- License Number
- 0680000714
- License State
- VT
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Randolph, VT
View all Counselor, Mental Health providers in Randolph →- Adam BindrumCounselor, Mental Health · NPI 1093045718
- April M Ketchum, LCMHCCounselor, Mental Health · NPI 1801363908
- Danielle Ferry, LCMHCCounselor, Mental Health · NPI 1457828188
- Danielle King, MEDCounselor, Mental Health · NPI 1710261565
- Elizabeth Macaulay, LCMHCCounselor, Mental Health · NPI 1982896445
- Erica S GoldenCounselor, Mental Health · NPI 1699079830
Frequently Asked Questions
What is the NPI number of Robert Davis, MED?
The NPI number of Robert Davis, MED is 1154511459. It was assigned on August 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Robert Davis, MED?
Robert Davis, MED is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 0680000714.
Where does Robert Davis, MED practice?
The practice location is 11 N Main St, Randolph, VT 05060-1126. The office can be reached at 802-728-4466 (phone) or 802-728-4197 (fax).
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 1154511459 directly on the NPPES registry website.