Individual provider · Type 1 NPI

Ogene Lewis Davis, LPC MDIV

Professional Counselor · Stone Mountain, GA

NPI number 1972537504 Active

Practice location

778 Rays Rd, Suite 106
Stone Mountain, GA 30083-3107

Call (404) 292-3600 Map

Fax (404) 297-2600

Mailing address

366 Wilkinson Dr. SE
Atlanta, GA 30317-0073

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC003621 (GA)

Professional Counselor: Definition to come...

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About NPI 1972537504

Ogene Lewis Davis, LPC MDIV's National Provider Identifier is 1972537504, issued on Jul 10, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Jul 8, 2007.