The Human Rediscovery Center

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LPC003621 Issued in GA

Legal business name

THE HUMAN REDISCOVERY CENTER

Practice address

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

Phone

(404) 292-3600

Fax

(404) 297-2600

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ogene Lewis Davis, PHD, LPC,MDIVNPI 1972537504

Title

President, Registered Agent

Phone

(404) 292-3600

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ogene Lewis Davis, LPC MDIV

  • Professional Counselor
  • Stone Mountain, GA
  • NPI 1972537504
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497977003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "SUITE 106",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-292-3600",
            "fax_number": "404-297-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "SUITE 106",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-292-3600",
            "fax_number": "404-297-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUMAN REDISCOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "OGENE",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT, REGISTERED AGENT",
        "authorized_official_telephone_number": "404-292-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC,MDIV"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "LPC003621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Cognitive & Behavioral Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.