Female

Mi-na M. Davis LMHCA

Mental Health Counselor in Olympia, WA(View on Map)

Full Name

Mi-na M Davis LMHCA

NPI Number

1376382291

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/21/2024

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Washington
Washington

License Number

LH61582728
MC60943651

Contact
Information

Purpose

Mailing
Location

Address

4840 JOURNEY ST SE
4840 JOURNEY ST SE

City

Olympia
Olympia

State

WA
WA

Postal Code

98513-6779
98513-6779

Country

US
US

Telephone Number

(360) 413-2727
(360) 413-2727

Health Information Exchange

Endpoint Type

SOAP

Endpoint

https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

Endpoint Description

Carequality

Use

Health Information Exchange (HIE)

Content Type

Other

Other Description:
C-CDA

Affiliation

N

Endpoint Location

700 Lilly Rd NEOlympia, WA985065115US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/13/2024

Provider Address

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