Child & Adolescent Resource Education Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006209 Issued in GA

Legal business name

CHILD & ADOLESCENT RESOURCE EDUCATION SERVICES

Practice address

3636 Shrewsbury CT
Snellville, GA 30039-4643

Phone

(404) 578-7629

Fax

(770) 783-2230

NPI assigned

Oct 2, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monica D Douglas Davis, LPC, MANPI 1437404803

Title

Owner

Phone

(404) 578-7629

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARES Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Douglas Davis, MA, LPC

  • Mental Health Counselor
  • Snellville, GA
  • NPI 1437404803
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1215288196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 SHREWSBURY CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394643",
            "telephone_number": "404-578-7629",
            "fax_number": "770-783-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 SHREWSBURY CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394643",
            "telephone_number": "404-578-7629",
            "fax_number": "770-783-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADOLESCENT RESOURCE EDUCATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS DAVIS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-578-7629",
        "authorized_official_credential": "LPC, MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127374A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hong Chen, LAC
• Wendell Chesney II
• Chestnut Oak Emergency Physicians LLC
• Melissa Watson Chewning
• Tina Wei Chiang, PHARM.D,
• Amanda Childers
• Chiro Factor
• Chiropractic Clinic of Snellville, Inc.
• Choice Eye Care, LLC
• Chosen Hospice LLC

• Professional Counselor in Snellville, GA
• Providers in Snellville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.