Doctor Name: | MRS. ANNA CHRISTINA DAVIS |
NPI Number: | 1013200070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC 004717 |
Business Practice Address: | 465 Winn Way Suite 221 Decatur, GA - 300301753 |
Business Phone Number: | 4042923810 |
Business Fax Number: | 4042923848 |
Mailing Address: | 1043 Coronation Dr, ATLANTA |
State: | GA |
Postal Code: | 303382611 |
Phone Number: | 7708339052 |
Fax Number: | 4042923848 |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC 004717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |