Individual provider · Type 1 NPI

Cameron Reginald Butler Davis, LCMHCA

Mental Health Counselor · Charlotte, NC

NPI number 1194505255 Active

Practice location

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907

Fax (704) 364-6596

Mailing address

2825 Sloan Dr
Charlotte, NC 28208-7412

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X18258 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1194505255

Cameron Reginald Butler Davis, LCMHCA's National Provider Identifier is 1194505255, issued on Oct 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Aug 24, 2026.