Healthcare Provider Details

I. General information

NPI: 1275252413
Provider Name (Legal Business Name): STARSHA DAVIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 STELTON RD
XENIA OH
45385-5220
US

IV. Provider business mailing address

227 PLEASANT AVE
DAYTON OH
45403-2729
US

V. Phone/Fax

Practice location:
  • Phone: 937-708-8348
  • Fax:
Mailing address:
  • Phone: 423-424-8257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2608012
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: