Provider Demographics
NPI:1174868400
Name:DAVIS, TAMECA D (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:TAMECA
Middle Name:D
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCSWA
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Mailing Address - Street 1:284 EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1894
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:121 E ELWOOD AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-2947
Practice Address - Country:US
Practice Address - Phone:910-875-8156
Practice Address - Fax:910-875-9560
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2013-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCP0070101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical