Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNAY HEAVNER DAVIS, LPC
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · STAUNTON, VA
Registration Details
- NPI Number
- 1477810570
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2012 (14.024553097822 yrs)
- Last Updated
- Apr 13, 2012
- License
-
0701005120 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1110 MONTGOMERY AVESTAUNTON, VA, 244013968Browse VA providers · Browse ZIP 24401
- Phone
- 5402130450
- Fax
- 5402130456
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
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.