National Provider Identifier

Amythest Davis, LCAT, ATR-BC

Amythest Davis, LCAT, ATR-BC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Webster, NY and a listed phone number of (585) 210-0150.

NPI 1578097648Webster, NYMental Health Counselor

Profile Overview

NPI
1578097648
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
April 17, 2017
Last Updated
June 27, 2022

Practice Location

  • 98 North Ave
  • Webster, NY 14580-3193

Phone: (585) 210-0150

Specialties

  • Mental Health Counselor (101YM0800X)
  • Mental Health Counselor (101YM0800X)

Endpoints

  • amythestdavis.serenitylife@gmail.com

    Connect Url | Webster, NY 14580

Full Record
NPI
1578097648
Entity Type
Individual
Last Name
Davis
First Name
Amythest
Credential
LCAT, ATR-BC
Mailing Street Address
98 North Ave
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-3193
Mailing Country
US
Practice Street Address
98 North Ave
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-3193
Practice Country
US
Practice Phone
(585) 210-0150
Enumeration Date
April 17, 2017
Last Updated
June 27, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
June 27, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)
Other Identifiers
002262 (NY, Ny License)