Provider Demographics
NPI:1942074836
Name:DAVIS, CSHALA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CSHALA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 CORAL CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-1590
Mailing Address - Country:US
Mailing Address - Phone:360-402-1193
Mailing Address - Fax:
Practice Address - Street 1:1736 CORAL CLIFF DR
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-1590
Practice Address - Country:US
Practice Address - Phone:360-402-1193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health