Individual ProviderDonald H DavisCounselorBehavioral Health & Social Service ProvidersPractice Address8430 W Lake Mead Blvd Ste 139, Las Vegas, NV 89128-7672(702) 576-9882PECOS EnrollmentBased on the most recent information from CMS, provider Donald H Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1861902603Provider TypeIndividualFull NameDavis, Donald HCredentialMBA, MS, CDMS, MFT,GenderMaleSole ProprietorYesEnumeration Date10/6/2017Last Updated10/6/2017Contact InformationPractice LocationPractice Address8430 W Lake Mead Blvd Ste 139, Las Vegas, NV 89128-7672Phone(702) 576-9882Fax(510) 722-9739Mailing LocationMailing Address8430 W Lake Mead Blvd Ste 139, Las Vegas, NV 89128-7672Phone(702) 576-9882Fax(510) 722-9739Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer