Provider Demographics
NPI:1841008505
Name:DAVIDSON, JOSIE (ALC, NCC)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:ALC, NCC
Other - Prefix:
Other - First Name:JOSIE
Other - Middle Name:
Other - Last Name:BRANUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ALC, NCC
Mailing Address - Street 1:6517 BUGGY WHIP CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3100
Mailing Address - Country:US
Mailing Address - Phone:251-404-4818
Mailing Address - Fax:
Practice Address - Street 1:574 AZALEA RD STE 105
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1517
Practice Address - Country:US
Practice Address - Phone:251-404-4818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty