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Phyllis Ericson-Davis

Pastoral Counselor Professional Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder) and 10 more

101 Seattle Slew Ln
Greenville , South Carolina 29617-7901

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Pastoral Counselor
  • Professional Counselor
  • Cognitive & Behavioral Psychologist
  • Counseling Psychologist
  • Clinical Child & Adolescent Psychologist
  • Family Psychologist
  • Forensic Psychologist
  • Health Service
  • Intellectual & Developmental Disabilities
  • Psychoanalysis
  • Group Psychotherapist
  • School Psychologist

Languages spoken

  • English

Location

101 Seattle Slew Ln Greenville , South Carolina 29617-7901

First Address

  • Phyllis Ericson-Davis
  • 101 Seattle Slew Ln
  • Greenville, SC
  • Zip : 29617-7901
  • Phone : (864) 449-4867

Second Address

  • Phyllis Ericson-Davis
  • 101 Seattle Slew Ln
  • Greenville, SC
  • Zip : 29617-7901
  • Phone : (864) 449-4867

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FAQs


Where did Phyllis Ericson-Davis attend graduate school?

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Where did Phyllis Ericson-Davis do her residency?

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Where did Phyllis Ericson-Davis do her fellowship?

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Is Phyllis Ericson-Davis board certified?

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What type of doctor is Phyllis Ericson-Davis

Pastoral Counselor

In what state does Phyllis Ericson-Davis practice in?

South Carolina

Where is Phyllis Ericson-Davis ’s practice located?

101 Seattle Slew Ln , Greenville, South Carolina, 29617-7901

What is Phyllis Ericson-Davis ’s gender?

Female

Is Phyllis Ericson-Davis a sole practitioner?

No

Is Phyllis Ericson-Davis accepting new patients?

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What languages does Phyllis Ericson-Davis speak?

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Does Phyllis Ericson-Davis accept insurance?

Yes, Phyllis Ericson-Davis accepts insurance

Does Phyllis Ericson-Davis offers telemedicine?

Phyllis Ericson-Davis has not indicated if she offers telemedicine

What is Phyllis Ericson-Davis ’s professional license number?

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What is Phyllis Ericson-Davis ’s NPI number?

1114323367

Does Phyllis Ericson-Davis have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101YA0400X Addiction Counselor (Substance Use Disorder)
N 101YM0800X Mental Health Counselor
Y 101YP1600X Pastoral Counselor #75132117 WA
N 101YP2500X Professional Counselor
N 103TB0200X Cognitive & Behavioral Psychologist
N 103TC1900X Counseling Psychologist
N 103TC2200X Clinical Child & Adolescent Psychologist
N 103TF0000X Family Psychologist
N 103TF0200X Forensic Psychologist
N 103TH0100X Health Service
N 103TM1800X Intellectual & Developmental Disabilities
N 103TP0814X Psychoanalysis
N 103TP2701X Group Psychotherapist
N 103TS0200X School Psychologist

National Provider Identifier

NPI 1114323367
Provider Name Phyllis Ericson-Davis
First Address Greenville, SC 29617-7901
Second Address Greenville, SC 29617-7901
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 17/11/2014
Last Update Date 19/11/2014

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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