Healthcare Provider Details

I. General information

NPI: 1497698351
Provider Name (Legal Business Name): PERSPECTIVE - PEER AND CLINICAL ALLIANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1984 BURROUGHS DR
DAYTON OH
45406-4418
US

IV. Provider business mailing address

1984 BURROUGHS DR
DAYTON OH
45406-4418
US

V. Phone/Fax

Practice location:
  • Phone: 937-598-2810
  • Fax:
Mailing address:
  • Phone: 937-598-2810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EVERETT DAVIS
Title or Position: CEO
Credential: LSW, LICDC
Phone: 937-598-2810