Provider Demographics
NPI:1609312685
Name:DAVEY, NINA (LCPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:DAVEY
Suffix:
Gender:
Credentials:LCPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 NEWBURG AVE # 102
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5157
Mailing Address - Country:US
Mailing Address - Phone:443-691-3204
Mailing Address - Fax:
Practice Address - Street 1:9 NEWBURG AVE # 102
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5157
Practice Address - Country:US
Practice Address - Phone:443-691-3204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC6206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health