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CRYSTAL DOMINIQUE MOORE-DAVIS
NPI 1124836333
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since December 19, 2024
1400 E 55TH ST, CLEVELAND, OH 44103(216) 391-6672 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Dominique Moore-davis NPPES

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

CRYSTAL DOMINIQUE MOORE-DAVIS (NPI 1124836333) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (187358) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1124836333
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL DOMINIQUE MOORE-DAVIS
Location Address1400 E 55TH STCleveland, OH 44103-1304
Mailing Address1400 E 55th StCleveland, OH 44103-1304 · (216) 391-6672
Phone(216) 391-6672
Sole ProprietorYes
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1124836333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 187358
1400 E 55TH ST, Cleveland, OH 44103
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Other Names 1

Other Name (5)Mrs. Crystal Dominique Davis

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA JOSEPHINE PARKS CDCA
Counselor (Addiction (Substance Use Disorder))
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672
MR. ZAIRE JAWHAN JOHNSON
Case Manager/Care Coordinator
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672
SHILAH KIDD CT
Counselor (Mental Health)
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672
PATRICIA GRIGGS
Peer Specialist
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672
JUDITH OWENS
Social Worker
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672
BILLIE JO JACOBS
Peer Specialist
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672
LYNDA MARIE WHITE
Counselor (Addiction (Substance Use Disorder))
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672
ANNETTE M JOHNSON CMS
Case Manager/Care Coordinator
1400 E 55TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 391-6672

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 Crystal Moore-davis's NPI number?

The NPI number for Crystal Moore-davis is 1124836333. It was assigned to this individual provider in the NPPES registry on December 19, 2024. The provider is also known as Mrs. Crystal Dominique Davis.

Where is Crystal Moore-davis located?

Crystal Moore-davis practices at 1400 E 55th St, Cleveland, OH 44103. The listed phone number is (216) 391-6672.

What is Crystal Moore-davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Moore-davis was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.