DIANE KAYE DAVIS MSED NCC LCPC NPI 1073673109

NPI Information

  • NPI: 1073673109
  • Provider Name: DIANE KAYE DAVIS, MSED, NCC, LCPC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 608 MULBERRY ST
    MURPHYSBORO, IL
    ZIP 62966
  • Phone: (618) 687-5353

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NPI Details

Diane Kaye Davis, MSED, NCC, LCPC is an addiction (substance use disorder) counselor in Murphysboro, IL. Diane Kaye Davis, MSED, NCC, LCPC NPI is 1073673109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

608 MULBERRY ST
MURPHYSBORO, IL
ZIP 62966-666
Phone: (618) 687-5353
Fax: (618) 687-5077

The enumeration date for this NPI number is 12/11/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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