person
Ms. Madrigo Davis, LPC
Professional Counselor in Atlanta, Georgia
NPI 1801941224

Madrigo Davis is a Professional Counselor based in Easley, GA and is specialized in Professional. Madrigo Davis practices in Atlanta, GA and has the professional credentials of LPC. The NPI Number for Madrigo Davis is 1801941224 and holds a License No. LPC004150 (Georgia).

The current practice location address for Madrigo Davis is 3300 Buckeye Rd, Atlanta, GA and can be reached out via phone at 770-220-0477 and via fax at 770-220-0478.

Location: 3300 Buckeye Rd, Atlanta, GA, 29642-1537
person
Provider Profile Details
NPI Number
1801941224
Provider Name
Madrigo Davis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3300 Buckeye Rd, Atlanta, GA, 29642-1537
Phone Number
770-220-0477
Fax Number
770-220-0478
Provider Enumeration Date
01/24/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10066064 01 GA AMERIGROUP
52210317 001 01 GA BCBSGA BEHAVIORAL HEALTH
103665 01 GA PEACHSTATE HEALTH PLAN
467617883B 05 GA
10066064 01 GA CENPATICO BEHAVIORAL HEAL
institution
Provider Business Practice Location Address Details
Address
3300 Buckeye Rd
City
State
Zip
30341-4229
Phone Number
770-220-0477
Fax Number
770-220-0478
person
Provider Business Mailing Address Details
Address
3300 Buckeye Rd
City
State
Zip
30341-4229
Phone Number
770-220-0477
Fax Number
770-220-0478
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC004150 (Georgia)
Definition
Definition to come...
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