Provider Demographics
NPI:1407257975
Name:DAVIS, WILLIAM A (MS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:A
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 ASHE STREET
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040
Mailing Address - Country:US
Mailing Address - Phone:305-304-1969
Mailing Address - Fax:305-295-8333
Practice Address - Street 1:716 ASHE ST
Practice Address - Street 2:716 ASHE STREET
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-7113
Practice Address - Country:US
Practice Address - Phone:305-304-1969
Practice Address - Fax:305-295-8333
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)