Debra Davis, BA
Counselor in Tahlequah, OK. Individual provider (NPI-1).
NPI number1457636680
StatusActive
Last updated in NPPESOct 19, 2011
Details
- NPI
- 1457636680
- Entity type
- Individual (NPI-1)
- Name
- Debra Davis
- Credential
- BA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2011
- Last updated
- Oct 19, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1606 E DowningTahlequah, OK 74464
Phone 918-453-1217
Mailing address
205 S Jt StitesSallisaw, OK 74955
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 50 Counselor providers in Tahlequah · All 1,444 providers in Tahlequah
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