Healthcare Provider Details

I. General information

NPI: 1316839715
Provider Name (Legal Business Name): MARKEISHA DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 09/20/2026
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6457 GLEN WAY AVE #9
CINCINNATI OH
45211
US

IV. Provider business mailing address

1572 GLEN PARKER AVE APT 9
CINCINNATI OH
45223-1660
US

V. Phone/Fax

Practice location:
  • Phone: 513-808-8952
  • Fax:
Mailing address:
  • Phone: 513-808-8952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: