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

Crystal Dominique Moore-Davis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124836333

Crystal Dominique Moore-Davis is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

1400 E 55th St
Cleveland, OH 44103-1304
Phone: (216) 391-6672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 187358 (OH)

Record details

NPI number1124836333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

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