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General NPI Number Information
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NPI Number | 1710655295
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Entity Type | Individual
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Provider Name | ALEXES WHITAKER- DAVIS B.S, M.ED, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 644 N CHASE ST # 104
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City | ATHENS
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State | GA
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Zip | 30601-1960
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Country | US
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Telephone | 706-898-3276
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Fax |
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Provider Business Mailing Address
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Address Line | 4458 WEBB MEADOWS DR
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City | LOGANVILLE
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State | GA
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Zip | 30052-8112
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Country | US
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Telephone | 770-895-0833
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC016245
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License Number State | GA
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