Individual provider · Type 1 NPI

Glacia Ethridge Davis, LCMHC, LPC, CRC, NCC

Mental Health Counselor · North Charleston, SC

NPI number 1447869763 Active

Practice location

6650 Rivers Ave Ste 100
North Charleston, SC 29406-4809

Call (803) 606-9932 Map

Mailing address

224 Fox Run Dr
Hopkins, SC 29061-8662

Other practice locations

  • 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 · (803) 606-9932

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X24415 (NC)
Counselor 101Y00000X10865 (SC)
Mental Health Counselor Primary 101YM0800X15500 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1447869763

Glacia Ethridge Davis, LCMHC, LPC, CRC, NCC's National Provider Identifier is 1447869763, issued on Jul 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Charleston, SC. The record was last updated on Apr 28, 2026.