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General NPI Number Information
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NPI Number | 1821490848
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Entity Type | Individual
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Provider Name | SHELENA DAVIS LPC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 275 COUNTRY CLUB DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7349
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Country | US
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Telephone | 770-474-8400
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Fax | 770-474-3738
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Provider Business Mailing Address
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Address Line | 2470 WINDY HILL RD SE STE 300
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City | MARIETTA
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State | GA
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Zip | 30067-8621
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Country | US
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Telephone | 866-377-5454
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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 | LPC007825
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License Number State | GA
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