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

Individual provider Professional Counselor · NPI 1184279002

Dazzmen Nikole Davis, LCMHC, LPC is a Mental Health Counselor in Fayetteville, North Carolina. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Georgia, North Carolina and South Carolina.

Years since qualifying
7
Licensed in
GA, NC, SC
In the registry since
2019
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3350 Footbridge Ln Ste 124
Fayetteville, NC 28306-9695
Phone: (980) 990-2642
Fax: (404) 726-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 118 Peace St, N Wilkesboro, NC 28659-4519 — (336) 667-7191

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10572 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence LPC015521 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC9824PC (SC)

Record details

NPI number1184279002
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LPC
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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