Healthcare Provider Details

I. General information

NPI: 1760307292
Provider Name (Legal Business Name): ELIZABETH LOUISE DAVY NCC, APC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIZ AGHAMKAR NCC, APC

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 THE EXCHANGE SE STE 750
ATLANTA GA
30339-2088
US

IV. Provider business mailing address

1820 THE EXCHANGE SE STE 750
ATLANTA GA
30339-2088
US

V. Phone/Fax

Practice location:
  • Phone: 770-421-5031
  • Fax:
Mailing address:
  • Phone: 770-421-5031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC011206
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: