Active NPI
Tiffanie L Davis, LPC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1619174141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC004167
- Practice address
- 2801 Buford Hwy NE
Suite T-60
Atlanta, GA 30329-2149 - Phone
- (404) 441-0466
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC004167 | GA | Primary |
Addresses
Primary practice location
2801 Buford Hwy NE
Suite T-60
Atlanta, GA 30329-2149
Mailing address
636 Shadow Lake Dr
Lithonia, GA 30058-3233
Phone (404) 441-0466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004167 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619174141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 SHADOW LAKE DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300583233",
"telephone_number": "404-441-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE",
"address_2": "SUITE T-60",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292149",
"telephone_number": "404-441-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TIFFANIE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC004167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.