Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENYATTA NECOLE DAVIS
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · GREENSBORO, NC
Registration Details
- NPI Number
- 1801516695
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2022 (3.6402210879724 yrs)
- Last Updated
- Aug 31, 2022
- License
-
MHL-041-1232 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1995 BLUE ROCK CTGREENSBORO, NC, 274051834Browse NC providers · Browse ZIP 27405
- Phone
- 3363406399
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in GREENSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| ADDIE WATSON | — | 1881711802 |
| MS. RAVONDA CARNEY MEACHEM | M.S. | 1699971838 |
| JACQUELINE KIRBY | — | 1477045714 |
| MR. RONALD ANTHONY BENJAMIN | — | 1487131074 |
| TIFFINI MARIA SIMPSON | — | 1982259537 |
| JESSICA FOSTER | MHL | 1174118673 |
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.