Dariel Davis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011194 Issued in IL

Practice address

77 Sugar Creek Center Blvd
Sugar Land, TX 77478-3580

Phone

(708) 918-5471

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Healing Space Therapy PLLC

  • Professional Counselor
  • Sugar Land, TX
  • NPI 1144843038
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1316456445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MOUNTAIN CREEK ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848487",
            "telephone_number": "773-983-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783580",
            "telephone_number": "708-918-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 S Delano Ct W Ste B201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606053734",
            "country_code": "US",
            "telephone_number": "708-918-5471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 W 31st Pl Apt 1R",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606086501",
            "country_code": "US",
            "telephone_number": "773-983-2254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 N Michigan Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017488",
            "country_code": "US",
            "telephone_number": "888-726-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARIEL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callista Nkeiruka Davis-Osuagwu, FNP,MSN
• Angela Maria Davis, MD
• Ayesha Davis
• Bret C Davis, DMD
• Brian A Davis, LMT
• Eric B Davis, MD
• Felecia Davis, NP
• Felicia Davis, L.V.N.
• Patricia Forweah Davis
• Robert E Davis, M.D.

• Professional Counselor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.