1912235748 NPI number — MRS. BRITTANY BYERS DAVIS LCSWA

Table of content: MRS. BRITTANY BYERS DAVIS LCSWA (NPI 1912235748)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912235748 NPI number — MRS. BRITTANY BYERS DAVIS LCSWA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAVIS
Provider First Name:
BRITTANY
Provider Middle Name:
BYERS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSWA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BYERS
Provider Other First Name:
BRITTANY
Provider Other Middle Name:
NICOLE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1912235748
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2317 GELSINGER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BESSEMER CITY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28016-6808
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-726-1443
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
839 MAJESTIC CT STE 9
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GASTONIA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28054-5152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-671-2381
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  P012117 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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