Provider Demographics
NPI:1801308382
Name:DAVIS, SHAMEIKA (LCSW)
Entity type:Individual
Prefix:
First Name:SHAMEIKA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 KEYWOOD CIR STE 2B
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-3054
Mailing Address - Country:US
Mailing Address - Phone:601-559-1880
Mailing Address - Fax:601-559-1852
Practice Address - Street 1:517 KEYWOOD CIR STE 2B
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-3054
Practice Address - Country:US
Practice Address - Phone:601-559-1880
Practice Address - Fax:601-559-1852
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC79871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical