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MR. DERRICK LAVEL DAVIS SR. LPC
NPI 1265620611
Counselor - Mental Health in Charlotte, NC

Active since October 11, 2007
4601 PARK RD STE 400, CHARLOTTE, NC 28209(704) 344-0491(704) 344-0493 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derrick Lavel Davis Sr. Lpc NPPES

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

MR. DERRICK LAVEL DAVIS SR. LPC (NPI 1265620611) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (5084) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1265620611
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DERRICK LAVEL DAVIS SR.Credential: LPC
Location Address4601 PARK RD STE 400Charlotte, NC 28209-2284
Mailing AddressPo Box 563328Charlotte, NC 28256-3328 · (704) 449-1750 · Fax (704) 730-8040
Phone(704) 344-0491
Fax(704) 344-0493
Sole ProprietorNo
Enumeration DateOctober 11, 2007
Last NPPES UpdateApril 7, 2010
✔ NPI 1265620611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 5084
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6103353 (NC)
4601 PARK RD STE 400, Charlotte, NC 28209
Open in Google Maps ↗

Other Identifiers 1

Medicaid6103353NC

Other Providers at the Same Location NPPES 3

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

MRS. STACIE SMITH DAVIDSON LPCA
Counselor (Mental Health)
4601 PARK RD STE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 344-0491
MRS. MARLENA THOMAS LPC-A
Counselor (Mental Health)
4601 PARK RD STE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 344-0491
MS. BRITNEY MOBLEY PHIFER LMFT
Marriage & Family Therapist
4601 PARK RD STE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 344-0491

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 Derrick Davis's NPI number?

The NPI number for Derrick Davis is 1265620611. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Derrick Davis located?

Derrick Davis practices at 4601 Park Rd Ste 400, Charlotte, NC 28209. The listed phone number is (704) 344-0491.

What is Derrick Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derrick Davis was last updated on April 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.