Healthcare Provider Details

I. General information

NPI: 1760258248
Provider Name (Legal Business Name): ASHLEIGH R DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 ARSENAL AVE STE 202
FAYETTEVILLE NC
28305-5478
US

IV. Provider business mailing address

7109 DAYSPRING DR
FAYETTEVILLE NC
28314-6532
US

V. Phone/Fax

Practice location:
  • Phone: 910-323-3368
  • Fax: 910-486-7000
Mailing address:
  • Phone: 910-229-5203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: