| NPI | 1376383687 |
|---|---|
| Other Name | GERISHIA VICTORIA DAVIS, LCSW |
| Entity Type | Organization |
| Authorized Contact | GERISHIA VICTORIA DAVIS Lead Clinician 940-260-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-27 |