Individual provider · NPI-1

Marquita Shenae Davis

Counselor, Mental Health · Dayton, OH

NPI number1740986991
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1740986991
Entity type
Individual (NPI-1)
Name
Marquita Shenae Davis
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2023
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthC2607964OHYes
261QD1600X Clinic/Center, Developmental DisabilitiesC2607964OH
1041S0200X Social Worker, SchoolC.2506455-TRNEOH
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)C2607964OH
261QM0850X Clinic/Center, Adult Mental HealthC2607964OH
251S00000X Community/Behavioral HealthC2607964OH
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesC2607964OH
251B00000X Case ManagementC2607964OH
251C00000X Day Training, Developmentally Disabled ServicesC2607964OH
261QM0855X Clinic/Center, Adolescent and Children Mental HealthC2607964OH
261Q00000X Clinic/CenterC2607964OH

Practice location

1358 Canfield Ave
Dayton, OH 45406-4309

Phone 937-248-5162

Mailing address

7010 Hercules Way
Waynesville, OH 45068-7505

Phone 937-248-5162

Other practice locations

426 S James H Mcgee Blvd
Dayton, OH 45402-8049

Phone 937-248-5162

411 Marathon Ave
Dayton, OH 45406-4846

Phone 937-248-5162

1438 Kumler Ave
Dayton, OH 45406-5931

Phone 937-248-5162

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