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Black Serene, Pllc

Professional Counselor in Fayetteville, NC · enumerated 2024 · authorized official Dazzmen Davis, Practice Owner/Licensed Counselor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184472573

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Registry record

Entity type Organization (Type 2)
Legal business name Black Serene, Pllc
Practice address 3350 Footbridge Ln, Ste 124 #524, Fayetteville, NC, 28306
Phone (404) 649-5274
Enumeration date May 9, 2024
Last updated in NPPES May 6, 2026

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Dazzmen Davis
Title Practice Owner/Licensed Counselor
Phone (404) 649-5274

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Black Serene, Pllc?
NPPES lists Dazzmen Davis (Practice Owner/Licensed Counselor) as the authorized official for this organization.
What is the NPI number for Black Serene, Pllc?
The NPI for Black Serene, Pllc is 1184472573, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-06.