Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derrick Lavel Davis Sr., LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265620611

Mr. Derrick Lavel Davis Sr., LPC is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4601 Park Rd Ste 400
Charlotte, NC 28209-2284
Phone: (704) 344-0491
Fax: (704) 344-0493
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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 5084 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 6103353 (NC)

Record details

NPI number1265620611
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESApril 7, 2010

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