Mary Davis, LPC – Counselor in Bremen, GA

Key facts

NPI: 1790284800
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: 0011029 (GA)
Practice address: 206 Hamilton Ave Ste 8
Bremen, GA 30110-1681
Phone: (762) 290-5011
NPI assigned: Feb 4, 2018
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Resolutions Counseling Inc. Professional Counselor · Carrollton, GA · NPI 1306176797

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
0011029	GA	MD	Counselor
11029	GA	MD	Counselor
APC005428	GA	MD	Counselor

Practice roles

Organization	Specialty	Status	New patients
Resolutions Counseling Inc.		Past since May 1, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	11029	GA
Counselor	101Y00000X	APC005428	GA
Counselor	101Y00000X	0011029	GA	Yes

Addresses

Primary practice location

206 Hamilton Ave Ste 8
Bremen, GA 30110-1681

Mailing address

206 Hamilton Ave Ste 8
Bremen, GA 30110-1681
Phone (762) 290-5011

Other names

Katie Davis Other name

Other providers in Bremen, GA

All providers in Bremen, GA · Counselor in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.