Individual provider · Type 1 NPI

Ellisha Davis

Professional Counselor · Belleville, IL

NPI number 1306720610 Active

Practice location

900 Royal Heights Rd
Belleville, IL 62226-5457

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178020819 (IL)

Professional Counselor: Definition to come...

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About NPI 1306720610

Ellisha Davis's National Provider Identifier is 1306720610, issued on Aug 1, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Belleville, IL. The record was last updated on Aug 1, 2025.