Human Excellence Behavioral Health Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HUMAN EXCELLENCE BEHAVIORAL HEALTH SERVICES

Practice address

778 Rays Rd
Ste. 106
Stone Mountain, GA 30083-3107

Phone

(404) 292-3600

Fax

(404) 299-2600

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ogene Lewis Davis, LPCMDIVNPI 1972537504

Title

Clinical Directorproprietor

Phone

(404) 292-3600

Specialties & licenses 1

Addresses

Locations

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942248539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "STE106",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-292-3600",
            "fax_number": "404-299-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "STE. 106",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-292-3600",
            "fax_number": "404-299-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN EXCELLENCE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "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": "CLINICAL DIRECTORPROPRIETOR",
        "authorized_official_telephone_number": "404-292-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCMDIV"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Professional Counselor 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.