Provider Demographics
NPI:1184859829
Name:DAVIS-GAGE, DARCIE ALMA (PHD, LMHC, LPC)
Entity Type:Individual
Prefix:DR
First Name:DARCIE
Middle Name:ALMA
Last Name:DAVIS-GAGE
Suffix:
Gender:F
Credentials:PHD, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 CHANCELLOR DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6919
Mailing Address - Country:US
Mailing Address - Phone:319-343-6762
Mailing Address - Fax:
Practice Address - Street 1:6315 CHANCELLOR DR STE 5
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6919
Practice Address - Country:US
Practice Address - Phone:319-343-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001122101Y00000X, 101YM0800X
MO002434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional