Provider Demographics
NPI:1033509112
Name:DAVIS, ALANA (LLMSW)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FORD PL
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3450
Mailing Address - Country:US
Mailing Address - Phone:313-874-6677
Mailing Address - Fax:
Practice Address - Street 1:22390 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1849
Practice Address - Country:US
Practice Address - Phone:313-387-6000
Practice Address - Fax:313-387-0760
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010924341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical