| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PAQUETTA MARIA DAVIS | 1932502846 | 2023-01-21 |
Paquetta Maria Davis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932502846. Registration indicates Paquetta Maria Davis is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Paquetta Maria Davis |
| Practice Office Address | 2925 RUSSELL ST DETROIT, MI US |
| Practice Office Telephone | 3133965300 |
| Mailing Address | 2925 RUSSELL ST DETROIT, MI 482074825 US |
| Business Telephone | 3133965300 |
| work email [] | [email protected] | Team Wellness Center |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers |
MI |
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers |