Provider Demographics
NPI:1780863977
Name:DAVIS, ALISON BAKER (MSW, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:BAKER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 E CENTER AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-2578
Mailing Address - Country:US
Mailing Address - Phone:704-660-1020
Mailing Address - Fax:704-660-1024
Practice Address - Street 1:610 E CENTER AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2578
Practice Address - Country:US
Practice Address - Phone:704-660-1020
Practice Address - Fax:704-660-1024
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC717101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)