MARY DAVIS LPC
NPI 1790284800
Counselor in Bremen, GA

Active since February 04, 2018
206 HAMILTON AVE STE 8, BREMEN, GA 30110(762) 290-5011 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Oct 25, 2022 (2 updates tracked since 2022).

About Mary Davis Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY DAVIS LPC (NPI 1790284800) is an individual counselor in Bremen, Georgia, licensed in Georgia (0011029) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1790284800
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARY DAVISCredential: LPC
Location Address206 HAMILTON AVE STE 8Bremen, GA 30110-1681
Mailing Address206 Hamilton Ave Ste 8Bremen, GA 30110-1681 · (762) 290-5011
Sole ProprietorYes
Enumeration DateFebruary 4, 2018
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
NPI 1790284800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses Licensed in GA · 0011029 Licensed in GA · 11029 Licensed in GA · APC005428
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
206 HAMILTON AVE STE 8, Bremen, GA 30110

Other Names 1

Other Name (5)Katie Davis Lpc

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 Mary Davis's NPI number?

The NPI number for Mary Davis is 1790284800. It was assigned to this individual provider in the NPPES registry on February 4, 2018. The provider is also known as Katie Davis Lpc.

Where is Mary Davis located?

Mary Davis practices at 206 Hamilton Ave Ste 8, Bremen, GA 30110. The listed phone number is (762) 290-5011.

What is Mary Davis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mary Davis was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.