Davis, Adrienne Cole

Davis, Adrienne Cole is an sole proprietor health care provider with primary practice located at 457 Columbia Industrial Blvd. Suite 12, Evans GA 30809-6691. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Davis, Adrienne Cole can be contacted via phone (706) 922-3027.

Contact Information

Primary practice address
457 Columbia Industrial Blvd. Suite 12 Evans GA 30809-6691
Phone: (706) 922-3027
Fax: (706) 364-8996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY9475 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 9475 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS-T000825 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY003252 Georgia

Profile Details

NPI number 1730247560
LBN Legal business name Davis, Adrienne Cole
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Sep 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730247560 NPPES
Georgia MEDICAID 649764982A

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