EBONY L DAVIDSON LPC
NPI 1063799187
Counselor - Professional in Bridgeport, CT

Active since November 03, 2011
629 JEWETT AVE, BRIDGEPORT, CT 06606(850) 264-2100 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2022, Feb 11, 2020, Nov 22, 2019 (3 updates tracked since 2019).

About Ebony L Davidson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY L DAVIDSON LPC (NPI 1063799187) is an individual professional provider in Bridgeport, Connecticut, licensed in Connecticut (3765) and active in the NPI registry since November 2011. She maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1063799187
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBONY L DAVIDSONCredential: LPC
Location Address629 JEWETT AVEBridgeport, CT 06606-2836
Mailing Address2730 Oldfield DrMonroe, NC 28110-5400 · (203) 423-9541
Sole ProprietorYes
Enumeration DateNovember 3, 2011
Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1063799187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 3765
Also ListedCounselorTaxonomy 101Y00000X
629 JEWETT AVE, Bridgeport, CT 06606

Secondary Practice Location 1

Location 12730 Oldfield DrMonroe, NC 28110-5400 · Phone (203) 423-9541

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Davidson's NPI number?

The NPI number for Ebony Davidson is 1063799187. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Ebony Davidson located?

Ebony Davidson practices at 629 Jewett Ave, Bridgeport, CT 06606. The listed phone number is (850) 264-2100.

What is Ebony Davidson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Ebony Davidson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Ebony Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebony Davidson was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.