Provider Demographics
NPI:1992033112
Name:KITCHENS, DAVIS TENSLEY II (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DAVIS
Middle Name:TENSLEY
Last Name:KITCHENS
Suffix:II
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16515 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4113
Mailing Address - Country:US
Mailing Address - Phone:718-291-4848
Mailing Address - Fax:718-291-5485
Practice Address - Street 1:16515 88TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4113
Practice Address - Country:US
Practice Address - Phone:718-291-4848
Practice Address - Fax:718-291-5485
Is Sole Proprietor?:No
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001134101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health