Provider Demographics
NPI:1912242173
Name:SANDERS-DAVIS, VALENCIA JUANITA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:VALENCIA
Middle Name:JUANITA
Last Name:SANDERS-DAVIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 LANTERNS LN
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9381
Mailing Address - Country:US
Mailing Address - Phone:910-442-6000
Mailing Address - Fax:
Practice Address - Street 1:204 KELLY PL
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2609
Practice Address - Country:US
Practice Address - Phone:336-812-9733
Practice Address - Fax:336-812-9374
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2190A101YA0400X
NC9440101YM0800X, 101YP2500X
NC265080101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor