Individual provider · Type 1 NPI

Mary Davis, LPC

Counselor · Bremen, GA

NPI number 1790284800 Active

Practice location

206 Hamilton Ave Ste 8
Bremen, GA 30110-1681

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X11029 (GA)
Counselor 101Y00000XAPC005428 (GA)
Counselor Primary 101Y00000X0011029 (GA)

Counselor: 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.

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About NPI 1790284800

Mary Davis, LPC's National Provider Identifier is 1790284800, issued on Feb 4, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bremen, GA. The record was last updated on Jul 25, 2025.