Individual provider · Type 1 NPI

Jordan Ray Davis, LPC

Mental Health Counselor · Richardson, TX

NPI number 1740570779 Active

Practice location

2150 Lakeside Blvd, Ste 100
Richardson, TX 75082-4302

Call (972) 437-4698 Map

Fax (972) 690-9309

Mailing address

2150 Lakeside Blvd Ste 100
Richardson, TX 75082-4467

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000X66808 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1740570779

Jordan Ray Davis, LPC's National Provider Identifier is 1740570779, issued on Apr 11, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richardson, TX. The record was last updated on Dec 10, 2025.