THADDEUS DAVIS
NPI 1124490321
Counselor - Mental Health in Marietta, GA
About Thaddeus Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THADDEUS DAVIS (NPI 1124490321) is an individual mental health provider in Marietta, Georgia and active in the NPI registry since October 2015.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thaddeus Davis's NPI number?
The NPI number for Thaddeus Davis is 1124490321. It was assigned to this individual provider in the NPPES registry on October 27, 2015.
Where is Thaddeus Davis located?
Thaddeus Davis practices at 1236 Sedgefield Rd, Marietta, GA 30062. The listed phone number is (678) 768-4818.
What is Thaddeus Davis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Thaddeus Davis was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thaddeus Davis · NPI 1124490321
Mental Health provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since October 27, 2015.
## Identity
- **NPI:** 1124490321 (Entity type: Individual)
- **Enumerated:** October 27, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1236 SEDGEFIELD RD, Marietta, GA 30062-2350
- **Phone:** (678) 768-4818
## Record status
- **NPPES last updated:** October 27, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1124490321) · Data from the CMS NPPES public registry.