Provider Demographics
NPI:1518130087
Name:DAVIS, ORKEEM (LPC, LCADC, NCC)
Entity Type:Individual
Prefix:
First Name:ORKEEM
Middle Name:
Last Name:DAVIS
Suffix:
Gender:M
Credentials:LPC, LCADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 EVERETT PL
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1661
Mailing Address - Country:US
Mailing Address - Phone:609-277-6900
Mailing Address - Fax:201-492-5010
Practice Address - Street 1:261 EVERETT PL
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1661
Practice Address - Country:US
Practice Address - Phone:609-277-6900
Practice Address - Fax:201-492-5010
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00541500101YP2500X
NJ37LC00243800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)