institution
Laura Irene Davis
Adolescent and Children Mental Health Clinic/Center in Reynoldsburg, Ohio
NPI 1568085876

Laura Irene Davis is an Adolescent and Children Mental Health Clinic/Center based in Columbus, OH and is specialized in Adolescent and Children Mental Health. Laura Irene Davis practices in Reynoldsburg, OH. The NPI Number for Laura Irene Davis is 1568085876 and holds a License No. (Ohio).

The current practice location address for Laura Irene Davis is 2020 Brice Rd Ste 110, Reynoldsburg, OH and can be reached out via phone at 614-706-5099 and via fax at 614-869-2397.

Location: 2020 Brice Rd Ste 110, Reynoldsburg, OH, 43209-3247
institution
Provider Profile Details
NPI Number
1568085876
Provider Name
Laura Irene Davis
Credential
Provider Entity Type
Organization
Address
2020 Brice Rd Ste 110, Reynoldsburg, OH, 43209-3247
Phone Number
614-706-5099
Fax Number
614-869-2397
Provider Enumeration Date
05/20/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I.1700380 01 OH LISW-SUPV
institution
Provider Business Practice Location Address Details
Address
2020 Brice Rd Ste 110
City
State
Zip
43068-3448
Phone Number
614-706-5099
Fax Number
614-869-2397
person
Provider Business Mailing Address Details
Address
2020 Brice Rd Ste 110
City
State
Zip
43068-3448
Phone Number
614-706-5099
Fax Number
614-869-2397
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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