Davis, Madrigo
Davis, Madrigo is an sole proprietor health care provider with primary practice located at 3300 Buckeye Rd Suite 811, Atlanta GA 30341-4229. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Madrigo can be contacted via phone (770) 220-0477.Contact Information
Primary practice address
3300 Buckeye Rd Suite 811
Atlanta GA 30341-4229
Phone: (770) 220-0477
Fax: (770) 220-0478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC004150 | Georgia |
Profile Details
| NPI number | 1801941224 |
|---|---|
| LBN Legal business name | Davis, Madrigo |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | May 24th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801941224 | NPPES |
| Georgia | Other | 10066064 | AMERIGROUP |
| Georgia | Other | 52210317 001 | AMERIGROUP |
| Georgia | Other | 103665 | AMERIGROUP |
| Georgia | MEDICAID | 467617883B | AMERIGROUP |
| Georgia | Other | 10066064 | AMERIGROUP |
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