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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LYDELL STACEY DAVIS

Active Sole Proprietor

LYDELL STACEY DAVIS is a Mental Health Counselor healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1083487409 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PHILADELPHIA, PA

Registration Details

NPI Number
1083487409
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2023 (2.7461675093384 yrs)
Last Updated
Nov 7, 2023
Sole Proprietor
Yes

Practice Information

Address
1629 W RUSCOMB ST
PHILADELPHIA, PA, 191411539
Browse PA providers · Browse ZIP 19141
Phone
2158881524
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PHILADELPHIA, PA

Name Credential NPI
DR. MAXIMILIEN RODOLFO ESPINAL MD 1659334407
PATRICIA S CORREA-ILLIDGE LSW 1598715179
SHARON GREEN LCSW 1336191923
ALISHA KATZ LCSW 1518906379
ELIZABETH ANN BYRNE LPC 1881636934
CAROL CAMPBELL PHD 1972545192
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.