NICOLE PATRICH DAVIS (NPI# 1154656023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154656023 |
| Entity Type | Individual |
| Full Name | NICOLE PATRICH DAVIS |
| Credential | LPC, NCC |
| Practice Address |
1862 Princeton Ave # 206 College Park GA 30337-3519 |
| Mailing Address |
2100 Liberty Hts Fairburn GA 30213-4413 |
| Practice Telephone | 4046456551 |
| Practice Fax Number | 4049239932 |
| Mailing Telephone | 4046456551 |
| Mailing Fax Number | 4049239932 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006241 | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
APC001781 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003133311A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747524 | Nicole C Davis | Licensed Vocational Nurse | 2316 Tierra Chica Way, El Paso, TX 79938-4429 | 2019-12-15 |
| 1396210605 | Nicole Joy Davis | Registered Nurse | 2970 Pawnee Ct, Redding, CA 96001-3482 | 2018-10-12 |
| 1972086957 | Nicole Lynne Davis | Social Worker | 4507 N Ravenswood Ave Ste 111, Chicago, IL 60640-5218 | 2018-09-14 |
| 1881103935 | Nicole Davis | Physical Therapy Assistant | 1949 W Ray Rd Ste 23, Chandler, AZ 85224-4008 | 2017-09-21 |
| 1215471545 | Nicole Davis | Specialist/Technologist | 404 Juniper Dr, West Mifflin, PA 15122-1236 | 2016-12-05 |
| 1679932321 | Nicole Davis | Nurse Practitioner | 5206 W Village Pkwy Ste 10, Rogers, AR 72758-8137 | 2016-02-22 |
| 1851777619 | Nicole Davis | Nurse Practitioner | 1301 E 47th St # 2, Chicago, IL 60653-4507 | 2015-08-04 |
| 1386915627 | Nicole Elaine Davis | Pharmacist | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2012-01-18 |
| 1518107648 | Nicole Jeanette Davis | Occupational Therapist | 11310 Horton Rd, Goodrich, MI 48438-9497 | 2009-03-02 |
| 1477728012 | Nicole Marie Davis | Counselor | 3961 Foothill Rd, Santa Barbara, CA 93110-1207 | 2008-04-24 |
| Street Address |
1862 PRINCETON AVE # 206 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30337-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
| 1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
| 1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
| 1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
| 1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
| 1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
| 1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
| 1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
| 1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
| 1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
| Find all providers in zip 30337 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1245719426 | Antonia Lamoi Taylor | Counselor | 2459 Roosevelt Hwy # B1516, College Park, GA 30337-5512 | 2018-08-09 |
| 1174029441 | Sticks In A Bundle Mentoring & Outreach, LLC | Counselor | 1865 Harvard Ave, College Park, GA 30337-3526 | 2018-04-04 |
| 1972850790 | Felicia R Perry | Counselor | 2245 Godby Rd Ste 102/104, College Park, GA 30349-5060 | 2012-08-10 |
| 1265721567 | Angela Peoples | Counselor | 5101 Buffington Rd, Ste 3445, College Park, GA 30349-2922 | 2011-04-07 |
| 1093048324 | Steven Snook, Ph.d., LLC | Counselor | 1651 Phoenix Blvd Ste 2, College Park, GA 30349-5552 | 2009-09-18 |
| 1467684456 | Lisa Andrews | Counselor | 1651 Phoenix Blvd, Suite 2, College Park, GA 30349-5552 | 2009-08-10 |
| 1720274632 | Judith Ann Johnson X | Counselor | 10201 Baltimore Ave, Apt # 1503, College Park, MD 20740-4216 | 2007-09-25 |
| 1316066673 | Felicia Jones Jenkins | Counselor | 5538 Old National Hwy, 350, College Park, GA 30349-3278 | 2007-03-28 |
| 1073652350 | Kristrinah Elizabeth Ayala | Counselor | 3415 Metzerott Rd, College Park, MD 20740-4425 | 2007-02-05 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30337 |
Please comment or provide details below to improve the information on NICOLE PATRICH DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.