National Provider Identifier
Elizannite Marie Davila Roman, LADCII
Elizannite Marie Davila Roman, LADCII is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Springfield, MA and a listed phone number of (413) 459-8655.
Source: public NPPES record, last updated September 09, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1023787389
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 09, 2021
- Last Updated
- September 09, 2021
Practice Location
- 1380 Main St Ste 415
- Springfield, MA 01103-1440
Phone: (413) 459-8655
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Elizannite Marie Davila Roman is a Springfield, Massachusetts-based behavioral health provider credentialed as a Licensed Alcohol and Drug Counselor II, with a Massachusetts counseling license listed in the CMS provider registry.
Full Record
- NPI
- 1023787389
- Entity Type
- Individual
- Last Name
- Davila Roman
- First Name
- Elizannite
- Middle Name
- Marie
- Credential
- LADCII
- Mailing Street Address
- 1380 Main St Ste 415
- Mailing City
- Springfield
- Mailing State
- MA
- Mailing ZIP Code
- 01103-1440
- Mailing Country
- US
- Mailing Phone
- (413) 459-8655
- Mailing Fax
- (413) 455-2708
- Practice Street Address
- 1380 Main St Ste 415
- Practice City
- Springfield
- Practice State
- MA
- Practice ZIP Code
- 01103-1440
- Practice Country
- US
- Practice Phone
- (413) 459-8655
- Practice Fax
- (413) 455-2708
- Enumeration Date
- September 09, 2021
- Last Updated
- September 09, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 09, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- S87753442 (MA, Drivers)