Organization
HOUSE OF MERCY OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLEURISE DAVIS (CHIEF EXECUTIVE OFFICER)
(404) 438-7196
Entity
Organization
Contact information
Practice address
9134 PUCKETT ST SW, COVINGTON, GA 30014-3899
(404) 438-7196
Mailing address
9134 PUCKETT ST SW, COVINGTON, GA 30014-3899
(404) 438-7196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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