Healthcare Provider Details

I. General information

NPI: 1336796275
Provider Name (Legal Business Name): CASSANDRA DAVIS LAPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4561 OLD WILLIAM PENN HWY
MONROEVILLE PA
15146-1713
US

IV. Provider business mailing address

4561 OLD WILLIAM PENN HWY
MONROEVILLE PA
15146-1713
US

V. Phone/Fax

Practice location:
  • Phone: 724-863-7223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002944
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: