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

Everett Davis, LCDCII

Individual provider Peer Specialist · NPI 1194340935

Everett Davis, LCDCII is a Peer Specialist in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (937) 815-7486
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 LCDCII161844 (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS001511 (OH)

Record details

NPI number1194340935
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCII
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address735 Waneta Ave, Dayton, OH 45404-1466

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