Individual ProviderDonna M DavisCounselorBehavioral Health & Social Service ProvidersPractice Address184 Dudley St, Suite 107ll, Roxbury, MA 02119-2561(617) 442-2002PECOS EnrollmentBased on the most recent information from CMS, provider Donna M Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1336475029Provider TypeIndividualFull NameDavis, Donna MCredentialM.EDGenderFemaleSole ProprietorYesEnumeration Date10/30/2009Last Updated10/30/2009Contact InformationPractice LocationPractice Address184 Dudley St, Suite 107ll, Roxbury, MA 02119-2561Phone(617) 442-2002Fax(617) 442-4002Mailing LocationMailing Address184 Dudley St, Suite 107ll, Roxbury, MA 02119-2561Phone(617) 442-2002Fax(617) 442-4002Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer