National Provider Identifier Database

JIM D DAVIS, CAPRC, CPSP – NPI #1679361893
Other Service Providers

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.


Contact Information

JIM D DAVIS, CAPRC, CPSP
914 SOUTH ST
LAFAYETTE, IN47901-1416
Phone: 765-742-1088
Fax:
Website:
Specialty Taxonomy Code
* Other Service Providers 175T00000X

* Indicates primary specialty

NPI Profile & details for JIM D DAVIS

NPI Number 1679361893
Credentials CAPRC, CPSP
Entity Individual
Enumeration date 04/28/2025
Last updated 04/28/2025 - More than a year ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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