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Evelynann Davis, LCPC

Counselor, Professional in Chicago, IL. Individual provider (NPI-1).

NPI number1891316865
StatusActive
Last updated in NPPESApr 30, 2020

Details

NPI
1891316865
Entity type
Individual (NPI-1)
Name
Ms. Evelynann Davis
Credential
LCPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 30, 2020
Certification date
Apr 30, 2020
Last updated
Apr 30, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180.011673ILYes

Practice location

6024 S Princeton Ave
Chicago, IL 60621-3316

Phone 773-633-8695

Mailing address

6024 S Princeton Ave
Chicago, IL 60621-3316

Phone 773-633-8695

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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