Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790284800 Individual Practitioner Female Practitioner

Mary Davis , LPC

Counselor • Bremen, GA

Professional Overview & Biography Verified Profile Summary

Mary Davis, LPC is a registered healthcare professional specializing in Counselor in Bremen, GA. Practice services are available at 206 HAMILTON AVE STE 8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

206 Hamilton Ave Ste 8

Bremen, GA 301101681

Telephone 7622905011

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bremen, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Bremen, GA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-25
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License GA 0011029

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License GA 11029

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License GA APC005428

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address July 25, 2025

Registered at 206 HAMILTON AVE STE 8, BREMEN, GA 301101681 (Tel: 7622905011)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2025

Counselor (License #11029 in GA)

📍
Updated Practice Location September 23, 2024

Registered at 206 HAMILTON AVE STE 8, BREMEN, GA 301101681 (Tel: 7622905011)

📍
Updated Business Mailing Address September 23, 2024

Registered at 206 HAMILTON AVE STE 5, BREMEN, GA 301101681 (Tel: 7622905011)

📍
Updated Practice Location October 25, 2022

Registered at 215 BRADLEY ST, CARROLLTON, GA 301173217 (Tel: 7708329140)

📍
Updated Business Mailing Address October 25, 2022

Registered at 215 BRADLEY ST, CARROLLTON, GA 301173217 (Tel: 7708329140)

👤
Provider Name / Credentials Updated October 25, 2022

Recorded as MARY DAVIS, LPC

NPI Profile Active February 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2018

Registered at 8046 ROSWELL RD, SANDY SPRINGS, GA 303507023 (Tel: 4045807150)

📍
Updated Business Mailing Address February 04, 2018

Registered at 102 FRANKFORD WAY, CARROLLTON, GA 301172481 (Tel: 7702387556)

👤
Provider Name / Credentials Updated February 04, 2018

Recorded as MARY LOCKERBIE, LAPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2018

Counselor (License #APC005428 in GA)

🟢
Initial NPI Registration & Enumeration February 04, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790284800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2018
Last Update: July 25, 2025
Sole Proprietor: Yes

Mailing Address

206 Hamilton Ave Ste 8

Bremen, GA 301101681

Phone: 7622905011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.