Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christian Marshall Davidson, LCMHC, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164840450

Christian Marshall Davidson, LCMHC, LCAS is a Mental Health Counselor in Statesville, North Carolina. Qualified in 2013, 13 years ago. Practices with Integrative Wellness Solutions PLLC, a 139-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

276 Old Mocksville Rd Ste 100
Statesville, NC 28625-1951
Phone: (704) 360-3637
Fax: (704) 200-9829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10823 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-20004 (NC)

Record details

NPI number1164840450
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Integrative Wellness Solutions Pllc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Statesville