EBONY LAQUISE DAVIS RADT NPI 1114630787

NPI Information

  • NPI: 1114630787
  • Provider Name: EBONY LAQUISE DAVIS, RADT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4441 AUBURN BLVD STE E
    SACRAMENTO, CA
    ZIP 95841
  • Phone: (916) 473-5764

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NPI Details

Ebony Laquise Davis, RADT is an addiction (substance use disorder) counselor in Sacramento, CA. Ebony Laquise Davis, RADT NPI is 1114630787. 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:

4441 AUBURN BLVD STE E
SACRAMENTO, CA
ZIP 95841-139
Phone: (916) 473-5764

The enumeration date for this NPI number is 12/28/2022 and was last updated on 9/23/2025.

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)A066740725CALIFORNIAYes

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

NPI Synchronization or Removal

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