Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Davina Pettaway, MS, MALPC, LICDC-CS

Individual provider Mental Health Counselor · NPI 1962994509

Davina Pettaway, MS, MALPC, LICDC-CS is a Mental Health Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

405 W 1st St
Dayton, OH 45402-3007
Phone: (937) 479-7010
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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 140856 (OH)

Record details

NPI number1962994509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MALPC , LICDC-CS
Sole proprietorYes
NPI enumeratedMay 30, 2018
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

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