Individual provider · Type 1 NPI
T. Conswello Davis
Mental Health Counselor · Hollywood, FL
NPI number
1770135972
Active
Practice location
3911 Hollywood Blvd Ste 2
Hollywood, FL 33021-6795
Mailing address
PO Box 4223
Fort Lauderdale, FL 33338-4223
Other practice locations
- 1033 NW 6th St Ste 202, Fort Lauderdale, FL 33311-8125 · (754) 300-7591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 18391 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1770135972
T. Conswello Davis's National Provider Identifier is 1770135972, issued on Jul 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hollywood, FL. The record was last updated on Jul 9, 2019.