Phelix Kelly Davis
Peer Specialist in Houston, TX. Individual provider (NPI-1).
NPI number1386491298
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1386491298
- Entity type
- Individual (NPI-1)
- Name
- Phelix Kelly Davis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 311Z00000X | Custodial Care Facility | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 342000000X | Transportation Network Company | – | – |
Practice location
3636 Old Spanish Trl # B-1246Houston, TX 77021-2456
Phone 281-451-9609
Mailing address
3636 Old Spanish Trl # B-1246Houston, TX 77021-2456
Phone 281-451-9609
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