Individual provider · Type 1 NPI

Heaven Davis

Counselor · Glassboro, NJ

NPI number 1306769419 Active

Practice location

42 Delsea Dr S
Glassboro, NJ 08028-2621

Call (844) 422-3632 Map

Mailing address

53 Mecouch Dr
Glassboro, NJ 08028-2447

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC01000500 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1306769419

Heaven Davis's National Provider Identifier is 1306769419, issued on Aug 4, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Glassboro, NJ. The record was last updated on Sep 8, 2026.