Mr Otha Davis, MSW in Clarksdale, MS - Counselor

Mr Otha Davis, MSW is a Counselor - Mental Health based in Clarksdale, Mississippi. Mr Otha Davis is licensed to practice in * (Not Available) (license number ) and his current practice location is 1742 Cheryl St, Clarksdale, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 627-7267.

NPI number for Mr Otha Davis is 1215218466 and his current mailing address is Po Box 1046, Clarksdale, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215218466.

Contact Information

	Mr Otha Davis, MSW
	1742 Cheryl St, Clarksdale, MS 38614-7218
	(662) 627-7267
	(662) 627-5240

Healthcare Provider's Profile

Full Name	Mr Otha Davis
Gender	Male
Speciality	Counselor - Mental Health
Location	1742 Cheryl St, Clarksdale, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1215218466
Provider Enumeration Date: 09/01/2011
Last Update Date: 09/01/2011

Medical Identifiers

Medical identifiers for Mr Otha Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215218466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Otha Davis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Otha Davis, MSW Po Box 1046, Clarksdale, MS 38614-1046 Ph: (662) 627-7267	Mr Otha Davis, MSW 1742 Cheryl St, Clarksdale, MS 38614-7218 Ph: (662) 627-7267

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Counselor in Clarksdale, MS

Ms. Carolyn Alecia Moten, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1742 Cheryl St, Clarksdale, MS 38614 Phone: 662-627-7267 Fax: 662-627-5240
Amquita Taylor, MD.E Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Desoto Ave Ste 109, Clarksdale, MS 38614 Phone: 662-592-5397
Ms. Cheryl S Conley, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1742 Cheryl St, Clarksdale, MS 38614 Phone: 662-627-7267 Fax: 662-627-5240
Ms. Lela Mae Jones, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1742 Cheryl St, Clarksdale, MS 38614 Phone: 662-627-7267 Fax: 662-627-5240
Ms. Kelcey S Steinriede, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1742 Cheryl St, Clarksdale, MS 38614 Phone: 662-627-7267 Fax: 662-627-5240
Reba T Carter, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1742 Cheryl St, Clarksdale, MS 38614 Phone: 662-627-7267 Fax: 662-627-5240
Ms. Christina Jacobs, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1742 Cheryl St, Clarksdale, MS 38614 Phone: 662-627-7267 Fax: 662-627-5240

Mr Otha Davis, MSW - Counselor in Clarksdale, MS