Provider Demographics
NPI:1447558937
Name:DAVIS, ANNE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:950 DANNON VW SW
Mailing Address - Street 2:STE 4201
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2160
Mailing Address - Country:US
Mailing Address - Phone:678-467-1605
Mailing Address - Fax:888-505-9989
Practice Address - Street 1:950 DANNON VW SW
Practice Address - Street 2:STE 4201
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2160
Practice Address - Country:US
Practice Address - Phone:678-467-1605
Practice Address - Fax:888-505-9989
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC006289101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional