Provider Demographics
NPI:1366820912
Name:DAVIS, MEGHAN (LPC, NCC, CAADC, CCS)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC, NCC, CAADC, CCS
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:WITZKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3203 MORRISH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2212
Mailing Address - Country:US
Mailing Address - Phone:517-375-1066
Mailing Address - Fax:810-733-7623
Practice Address - Street 1:1044 GILBERT ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3527
Practice Address - Country:US
Practice Address - Phone:810-422-9406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-15
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor