NPI Profile for Dr CHAMELEON DAVIS in GRENADA, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Professional |
101YP2500X | |||
Social Worker |
104100000X |
| NPI # | 1003472838 |
|
| Status | Active | |
| Credentials | DPC, LBSW, MAC, CMHT | |
| Entity | Individual | |
| Enumeration date | 05/16/2019 | |
| Last updated | 06/04/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHAMELEON DAVIS
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