Provider Demographics
NPI:1154645240
Name:DAVIS, NATONIA SHERIE (LCSW, MBA)
Entity Type:Individual
Prefix:MS
First Name:NATONIA
Middle Name:SHERIE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6501 ARLINGTON EXPY
Mailing Address - Street 2:B105 #2084
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-3347
Mailing Address - Country:US
Mailing Address - Phone:904-302-9355
Mailing Address - Fax:844-528-1420
Practice Address - Street 1:5663 GREENLAND RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-3329
Practice Address - Country:US
Practice Address - Phone:904-302-9355
Practice Address - Fax:844-528-1420
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1044701041C0700X
GACSW0052781041C0700X
FLSW 96171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical