Provider Demographics
NPI:1124846944
Name:DAVIDSON BEHAVIORAL HEALTH & PSYCHOTHERAPY, PLLC
Entity type:Organization
Organization Name:DAVIDSON BEHAVIORAL HEALTH & PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED CLINICAL SOCIAL WORK
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DANCY
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, LCSW
Authorized Official - Phone:336-442-3271
Mailing Address - Street 1:121 W CENTER STREET EXT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-1548
Mailing Address - Country:US
Mailing Address - Phone:336-442-3271
Mailing Address - Fax:
Practice Address - Street 1:121 W CENTER STREET EXT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-1548
Practice Address - Country:US
Practice Address - Phone:336-442-3271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty