Provider Demographics
NPI:1154614980
Name:DAVEY, ELAINE (LMHC, CRC)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:DAVEY
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:MA
Mailing Address - Zip Code:01834-1043
Mailing Address - Country:US
Mailing Address - Phone:617-970-9372
Mailing Address - Fax:
Practice Address - Street 1:152 SYLVAN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3558
Practice Address - Country:US
Practice Address - Phone:978-774-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4766101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health