Individual provider · Type 1 NPI

Shea Lee Davenport, MA

Mental Health Counselor · South Miami, FL

NPI number 1104510957 Active

Practice location

5875 SW 74th Ter Apt N-37
South Miami, FL 33143-5266

Call (702) 556-0056 Map

Other practice locations

  • 17501 SW 117th Ave, Miami, FL 33177-2272 · (305) 254-9759

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104510957

Shea Lee Davenport, MA's National Provider Identifier is 1104510957, issued on Jun 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Miami, FL. The record was last updated on Jun 5, 2023.