Provider Demographics
NPI:1043939648
Name:DAVIS-ACHONYE, TATTIANA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TATTIANA
Middle Name:
Last Name:DAVIS-ACHONYE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GARDEN TER APT 31N
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6200
Mailing Address - Country:US
Mailing Address - Phone:201-647-1405
Mailing Address - Fax:
Practice Address - Street 1:271 ROUTE 46 W STE G201
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2475
Practice Address - Country:US
Practice Address - Phone:732-561-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00207900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health