Individual
DAZZMEN NIKOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LPC
Contact information
Practice address
3350 FOOTBRIDGE LN STE 124, FAYETTEVILLE, NC 28306-9695
(980) 990-2642
(404) 726-4881
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10572
NC
101YP2500X
Professional Counselor
Primary
15072
NC
101YP2500X
Professional Counselor
LPC015521
GA
101YP2500X
Professional Counselor
LPC9824PC
SC
Other
Enumeration date
08/07/2019
Last updated
03/24/2026
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