Nicky Davis, LPCC
Individual provider Active NPI Professional Counselor · Whitley City, KY
NPI 1114183159 · NPPES record last updated Aug 17, 2022
Key facts
- NPI
- 1114183159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 246471 (KY)
- Practice address
- 90 Medical Lane
Whitley City, KY 42653 - Phone
- (606) 376-2466
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246471 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 246471 | KY | Yes |
Addresses
Primary practice location
90 Medical Lane
Whitley City, KY 42653
Mailing address
130 Southern School Rd
Somerset, KY 42501-3223
Other providers in Whitley City, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center, Inc.
- Cumberland Foot and Ankle Center
- Staci N. Daugherty
- Karla Davis
- Kelli Chantay Dixon
- Nina Dobbs
- Dustin T Douglas
- Ruby Carol Duncan
- Eastern Kentucky Health Care PLLC
All providers in Whitley City, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.