Individual provider · Type 1 NPI

Dazzmen Nikole Davis, LCMHC, LPC

Professional Counselor · Charlotte, NC

NPI number 1184279002 Active

Practice location

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001

Call (404) 649-5274 Map

Fax (404) 726-4881

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Other practice locations

  • 118 Peace St, North Wilkesboro, NC 28659-4519 · (336) 667-7191

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10572 (NC)
Mental Health Counselor 101YM0800XLPC015521 (GA)
Mental Health Counselor 101YM0800XLPC9824PC (SC)

Professional Counselor: Definition to come...

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About NPI 1184279002

Dazzmen Nikole Davis, LCMHC, LPC's National Provider Identifier is 1184279002, issued on Aug 7, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Oct 20, 2026.