Rosalyn Donzetta Davis, CADCII, MAT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADCII1323 Issued in GA

Practice address

105 College CT
Fort Valley, GA 31030-4402

Phone

(478) 293-8503

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Exodus Consulting, Training & Wellness Services, LLC

  • Professional Counselor
  • Fort Valley, GA
  • NPI 1184266850
  NPD
• TCM Counseling & Training, LLC

  • Professional Counselor
  • Fort Valley, GA
  • NPI 1174478366
  NPD (past)

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1851934210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MALCOLM CT",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310085849",
            "telephone_number": "770-601-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLEGE CT",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310304402",
            "telephone_number": "478-293-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROSALYN",
        "middle_name": "DONZETTA",
        "credential": "CADCII, MAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "CADCII1323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torina L Collins
• Gerald Jerome Cook
• Towanna Cummings
• Curtis E. Waites, D.D.S., P.C.
• Cynthia L. Giles, D.O., L.L.C.
• Robert Dennis Jr.
• Door Hope Counseling LLC
• Jordan Dorrien, ATC
• Dr Osh and Associates Foot and Leg Clinic, PC
• Dr. Wanda D. Hugget

• Addiction (Substance Use Disorder) Counselor in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.