person
Mrs. Regina Sullivan Davis, AA,CPSS,CPRC
Peer Specialist in Columbia, South Carolina
NPI 1801451281

Regina Sullivan Davis is a Peer Specialist based in Columbia, SC. Regina Sullivan Davis practices in Columbia, SC and has the professional credentials of AA,CPSS,CPRC. The NPI Number for Regina Sullivan Davis is 1801451281 and holds a License No. 2736403 (South Carolina).

The current practice location address for Regina Sullivan Davis is 3937 Sunset Blvd, Columbia, SC and can be reached out via phone at 803-567-3059 and via fax at 800-290-8136. You can also correspond with Regina Sullivan Davis through the mailing address at 3937 SUNSET BLVD, COLUMBIA, SC - 29169-4302 (mailing address contact number: 803-567-3059).

Location: 3937 Sunset Blvd, Columbia, SC, 29169-4302
person
Provider Profile Details
NPI Number
1801451281
Provider Name
Regina Sullivan Davis
Credential
AA,CPSS,CPRC
Provider Entity Type
Individual
Gender
Female
Address
3937 Sunset Blvd, Columbia, SC, 29169-4302
Phone Number
803-567-3059
Fax Number
800-290-8136
Provider Enumeration Date
05/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3937 Sunset Blvd
City
State
Zip
29169-4302
Phone Number
803-567-3059
Fax Number
800-290-8136
person
Provider Business Mailing Address Details
Address
3937 Sunset Blvd
City
State
Zip
29169-4302
Phone Number
803-567-3059
Fax Number
800-290-8136
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
2736403 (South Carolina)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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