Provider Demographics
NPI:1407447923
Name:DAVIS, TEAIRA STOKES (MS,ALC, NCC)
Entity Type:Individual
Prefix:
First Name:TEAIRA
Middle Name:STOKES
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS,ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2910 ALLISON BONNETT MEMORIAL DR. STE 106
Mailing Address - Street 2:PMB 366
Mailing Address - City:HUEYTOWN
Mailing Address - State:AL
Mailing Address - Zip Code:35023
Mailing Address - Country:US
Mailing Address - Phone:205-761-3675
Mailing Address - Fax:334-409-1062
Practice Address - Street 1:47 PARK RD.
Practice Address - Street 2:STE B3
Practice Address - City:PLEASANT GROVE
Practice Address - State:AL
Practice Address - Zip Code:35127
Practice Address - Country:US
Practice Address - Phone:205-761-3675
Practice Address - Fax:334-409-1062
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-27
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL3573101YM0800X
AL4615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health