Active NPIIndividual provider

Ms. Kelly A Davis, MA, LAC

Counselor, Mental Health in Matawan, New Jersey

NPI Number1942086814
Practice location
166 Main St, Matawan, NJ 07747-3104
Fax
—
Last updated
September 6, 2023

Kelly Anne Davis is a Counselor, Mental Health based in Matawan, NJ. Kelly Anne Davis practices in Matawan, NJ and has the professional credentials of MA, LAC. The NPI Number for Kelly Anne Davis is 1942086814 and holds a License No. 37AC00731000 (NJ). The current practice location address for Kelly Anne Davis is 166 Main St, Matawan, NJ 07747-3104 and can be reached out via phone at 732-290-9040.

Provider Profile Details

NPI Number
1942086814
Provider Name
Kelly Anne Davis
Credential
MA, LAC
Provider Entity Type
Individual
Gender
Female
Address
166 Main St, Matawan, NJ 07747-3104
Phone Number
732-290-9040
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 6, 2023
Last Update Date
September 6, 2023
Certification Date
September 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Main St
Matawan, NJ 07747-3104
Zip
07747-3104
Phone Number
732-290-9040
Matawan, NJ 07747Get directions →

Provider Business Mailing Address Details

Address
166 Main St
Matawan, NJ 07747-3104
City
Matawan
State
NJ
Zip
07747-3104
Phone Number
732-290-9040

License Information

License Number
37AC00731000
License State
NJ
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 Ms. Kelly A Davis, MA, LAC?

The NPI number of Ms. Kelly A Davis, MA, LAC is 1942086814. It was assigned on September 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Kelly A Davis, MA, LAC?

Ms. Kelly A Davis, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00731000.

Where does Ms. Kelly A Davis, MA, LAC practice?

The practice location is 166 Main St, Matawan, NJ 07747-3104. The office can be reached at 732-290-9040 (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 1942086814 directly on the NPPES registry website.

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