Provider Demographics
NPI:1356772347
Name:DAVIS, LENORA SEED (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:LENORA
Middle Name:SEED
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:LENORA
Other - Middle Name:
Other - Last Name:SEED-DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1101 MIRANDA LN
Mailing Address - Street 2:SUITE 123
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-0769
Mailing Address - Country:US
Mailing Address - Phone:407-780-0798
Mailing Address - Fax:407-847-6641
Practice Address - Street 1:1101 MIRANDA LN
Practice Address - Street 2:SUITE 123
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-0769
Practice Address - Country:US
Practice Address - Phone:407-780-0798
Practice Address - Fax:407-847-6641
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW91681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical