Individual provider · Type 1 NPI
Jason Wade Davis, LCSW
Mental Health Counselor · Bella Vista, AR
NPI number
1093677338
Active
Practice location
32 Devonshire Dr
Bella Vista, AR 72715-7512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 12551-C (AR) |
Mental Health Counselor: Definition to come...
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About NPI 1093677338
Jason Wade Davis, LCSW's National Provider Identifier is 1093677338, issued on Nov 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bella Vista, AR. The record was last updated on Nov 25, 2025.