Individual provider · Type 1 NPI

Derrick Lavel Davis Sr., LPC

Mental Health Counselor · Charlotte, NC

NPI number 1265620611 Active

Practice location

4601 Park Rd Ste 400
Charlotte, NC 28209-2284

Call (704) 344-0491 Map

Fax (704) 344-0493

Mailing address

PO Box 563328
Charlotte, NC 28256-3328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X6103353 (NC)
Mental Health Counselor Primary 101YM0800X5084 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1265620611

Derrick Lavel Davis Sr., LPC's National Provider Identifier is 1265620611, issued on Oct 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Apr 7, 2010.