Tracey Davenport, - Counselor in Los Angeles, CA

Tracey Davenport, is a Counselor - Addiction (substance Use Disorder) based in Los Angeles, California. Tracey Davenport is licensed to practice in * (Not Available) (license number ) and her current practice location is 5012 S La Brea Ave Ste 2, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (323) 290-0200.

NPI number for Tracey Davenport is 1003254780 and her current mailing address is 5012 S La Brea Ave Ste 2, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003254780.

Contact Information

Tracey Davenport,
5012 S La Brea Ave Ste 2,
Los Angeles, CA 90056-1863
(323) 290-0200
(323) 290-0202

Healthcare Provider's Profile

Full NameTracey Davenport
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5012 S La Brea Ave Ste 2, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003254780
  • Provider Enumeration Date: 06/04/2013
  • Last Update Date: 06/04/2013

Medical Identifiers

Medical identifiers for Tracey Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003254780NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (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. Tracey Davenport 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 AddressPractice Location Address
Tracey Davenport,
5012 S La Brea Ave Ste 2,
Los Angeles, CA 90056-1863

Ph: (323) 290-0200
Tracey Davenport,
5012 S La Brea Ave Ste 2,
Los Angeles, CA 90056-1863

Ph: (323) 290-0200

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› Verified 1 days ago


Counselor in Los Angeles, CA

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