Provider Demographics
NPI:1710794045
Name:DAVIS, RASHON (MS,NCC,LCMHCA)
Entity type:Individual
Prefix:MR
First Name:RASHON
Middle Name:
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MS,NCC,LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 CHERRY HOLLOW WAY APT 12-105
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-5939
Mailing Address - Country:US
Mailing Address - Phone:984-833-9080
Mailing Address - Fax:
Practice Address - Street 1:50101 GOVERNORS DR STE 280
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9517
Practice Address - Country:US
Practice Address - Phone:984-345-5119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20733101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health