Dr. Jimmy Davis
Pastoral Counselor Addiction Counselor (Substance Use Disorder)
367 Waterfront Row
Quitman
, Texas 75783-3558
Dr. Jimmy Davis
Pastoral Counselor Addiction Counselor (Substance Use Disorder)
367 Waterfront Row
Quitman
, Texas 75783-3558
(214) 463-8142
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Jimmy Davis
- 367 Waterfront Row
- Quitman, TX
- Zip : 75783-3558
- Phone : (214) 463-8142
Second Address
- Dr. Jimmy Davis
- 367 Waterfront Row
- Quitman, TX
- Zip : 75783-3558
- Phone : (214) 463-8142
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 6594 | TX |
| N | 101YP1600X | Pastoral Counselor | 7347688 | PA |
National Provider Identifier
| NPI | 1255705380 |
|---|---|
| Provider Name | Dr. Jimmy Davis |
| First Address | Quitman, TX 75783-3558 |
| Second Address | Quitman, TX 75783-3558 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2015 |
| Last Update Date | 18/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.