Provider Demographics
NPI:1841574654
Name:DAVIS, HELEN MIGNON (BS, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MIGNON
Last Name:DAVIS
Suffix:
Gender:F
Credentials:BS, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2175
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77588-2175
Mailing Address - Country:US
Mailing Address - Phone:713-533-8730
Mailing Address - Fax:713-533-8731
Practice Address - Street 1:9001 AIRPORT BLVD STE 604
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-3446
Practice Address - Country:US
Practice Address - Phone:713-533-8730
Practice Address - Fax:713-533-8731
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10003171M00000X, 172V00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker