Healthcare Provider Details

I. General information

NPI: 1558286377
Provider Name (Legal Business Name): ZOE DAVENPORT LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 N HARVEY ST
WASHINGTON NC
27889-5027
US

IV. Provider business mailing address

PO BOX 760
WASHINGTON NC
27889-0760
US

V. Phone/Fax

Practice location:
  • Phone: 252-460-2387
  • Fax:
Mailing address:
  • Phone: 252-940-3073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23310
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: