Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA DAVIS
Active Sole ProprietorLISA DAVIS is a Behavioral Health, Residential healthcare provider located in LOS ANGELES, California. NPI 1639613573 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · LOS ANGELES, CA
Registration Details
- NPI Number
- 1639613573
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2016 (9.7051645438876 yrs)
- Last Updated
- Dec 12, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
8937 1/2 S WESTERN AVELOS ANGELES, CA, 900473549Browse CA providers · Browse ZIP 90047
- Phone
- 3237507800
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| OCTAVIA ANTOINETTE ASKEW | PH.D | 1053976811 |
| TYKENO DUPREE MILES | AS, AA | 1922805571 |
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.