Stephen M. Davis, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC000280 Issued in GA

Practice address

1622 Hickory St
Suite 304
Dalton, GA 30720-8350

Phone

(706) 279-0405

Fax

(706) 279-4190

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Family and Children First LLC

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1770627515
  NPD (past)

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1932429933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HICKORY ST",
            "address_2": "SUITE 304",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208350",
            "telephone_number": "706-279-0405",
            "fax_number": "706-279-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 HICKORY ST",
            "address_2": "SUITE 304",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208350",
            "telephone_number": "706-279-0405",
            "fax_number": "706-279-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC000280",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT000469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Cassidy DMD, PC
• Ann H Davies, LCSW
• Jada Davis
• Nicholas J Davis, O.D.
• Rita-Marie Davis, CNM
• Tawana Rochelle Davis, LPN
• April Michelle Dawson
• Penelope Dawson, LPC
• Elizabeth Jean Day, C.N.M.
• Elizabeth Mary Day, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.