Provider Demographics
NPI:1679396196
Name:DAVIS, ALANA JANE
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:JANE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 BEACON ST APT 11
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3725
Mailing Address - Country:US
Mailing Address - Phone:340-344-5226
Mailing Address - Fax:
Practice Address - Street 1:901 BEACON ST APT 11
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3725
Practice Address - Country:US
Practice Address - Phone:340-344-5226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health