Healthcare Provider Details

I. General information

NPI: 1134835713
Provider Name (Legal Business Name): CHLOE DAVIDSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11440 HAMILTON AVE STE 206
CINCINNATI OH
45231-1180
US

IV. Provider business mailing address

8305 KENWOOD RD APT 3A
CINCINNATI OH
45236-2061
US

V. Phone/Fax

Practice location:
  • Phone: 513-648-9596
  • Fax:
Mailing address:
  • Phone: 513-908-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2608200
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: