VIVIAN M DAVIS LCAS NPI 1508486853

NPI Information

  • NPI: 1508486853
  • Provider Name: VIVIAN M DAVIS, LCAS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1830 OWEN DR STE 202-4
    FAYETTEVILLE, NC
    ZIP 28304
  • Phone: (910) 568-6239

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NPI Details

Vivian M Davis, LCAS is an addiction (substance use disorder) counselor in Fayetteville, NC. Vivian M Davis, LCAS NPI is 1508486853. 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:

1830 OWEN DR STE 202-4
FAYETTEVILLE, NC
ZIP 28304-611
Phone: (910) 568-6239

The NPI 1508486853 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 4/1/2025.

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
11041C0700XSocial WorkerClinicalP020651NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)26730NORTH CAROLINAYes

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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