Individual provider · Type 1 NPI

Grover Wayne Davis, BA, CSAC, CAC

Mental Health Counselor · Ludington, MI

NPI number 1376692269 Active

Practice location

5816 W US Highway 10
Ludington, MI 49431-2494

Fax (231) 843-8929

Mailing address

1095 3rd St, Suite 125
Muskegon, MI 49441-1976

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376692269

Grover Wayne Davis, BA, CSAC, CAC's National Provider Identifier is 1376692269, issued on Jan 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ludington, MI. The record was last updated on Sep 11, 2025.