Provider Demographics
NPI:1245464049
Name:DAVIS, HILDA R (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:HILDA
Middle Name:R
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 VISTAVALLEY CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1631
Mailing Address - Country:US
Mailing Address - Phone:615-417-7305
Mailing Address - Fax:615-876-2036
Practice Address - Street 1:100 VINE CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2052
Practice Address - Country:US
Practice Address - Phone:615-417-7305
Practice Address - Fax:615-876-2036
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2023101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health