Individual
HEATHER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC II
Contact information
Practice address
815 S SOUTH ST, WILMINGTON, OH 45177-2755
(937) 910-6218
(800) 480-9678
Mailing address
244 ROSHON RD, SABINA, OH 45169-9215
(937) 728-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0485320
—
OH
Enumeration date
02/11/2022
Last updated
11/06/2025
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