Mary Davis, LPC

Counselor · Bremen, GA

Individual Active NPI

NPI number 1790284800

Practice location

206 Hamilton Ave Ste 8
Bremen, GA 30110-1681
Phone
(762) 290-5011

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NPI record

NPI
1790284800
Entity type
Individual (Type 1)
Enumeration date
February 4, 2018
Last updated
July 25, 2025
Certified
July 25, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 0011029 GA
Counselor 101Y00000X 11029 GA
Counselor 101Y00000X APC005428 GA

About Mary Davis

Mary Davis, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 206 Hamilton Ave Ste 8, Bremen, GA 30110-1681. The NPI number 1790284800 was assigned on February 4, 2018 and the record was last updated on July 25, 2025.

Mary Davis lists 3 licenses in the registry: #0011029 (GA) for Counselor; #11029 (GA) for Counselor; #APC005428 (GA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Davis, LPC?

The NPI number is 1790284800.

What is the phone number of Mary Davis?

The phone number listed for the practice location is (762) 290-5011.

Where is Mary Davis located?

206 Hamilton Ave Ste 8, Bremen, GA 30110-1681.

What is the taxonomy code for Mary Davis?

The primary taxonomy code is 101Y00000X – Counselor; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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