MEDICARE: PERSPECTIVE - PEER AND CLINICAL ALLIANCE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

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

Provider Business Mailing Address
First Line	:	1984 BURROUGHS DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4418
Country	:	US
Telephone Number	:	937-598-2810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1984 BURROUGHS DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4418
Country	:	US
Telephone Number	:	937-598-2810
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EVERETT DAVIS
Credential	:	LSW, LICDC
Telephone Number	:	937-598-2810

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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