MR. TIM DANIEL DAVIS LPC NPI 1154670735

NPI Information

  • NPI: 1154670735
  • Provider Name: MR. TIM DANIEL DAVIS, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8702 WANDERING WAY
    FREELAND, MI
    ZIP 48623
  • Phone: (989) 999-8463

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NPI Details

MR. Tim Daniel Davis, LPC is a professional counselor in Freeland, MI. MR. Tim Daniel Davis, LPC NPI is 1154670735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8702 WANDERING WAY
FREELAND, MI
ZIP 48623-557
Phone: (989) 999-8463
Fax: (989) 266-1440

The NPI 1154670735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 1/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health6401019625MICHIGANNo
2101YP2500XCounselorProfessionalLPC.0003379COLORADONo
3101YP2500XCounselorProfessional6401019625MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16401019625OTHERMICHIGANLPC
2LPC.0003379OTHERCOLORADOLPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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