Organization
THE HUMAN REDISCOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OGENE LEWIS DAVIS PHD, LPC,MDIV (PRESIDENT, REGISTERED AGENT)
(404) 292-3600
Entity
Organization
Contact information
Practice address
778 RAYS RD, SUITE 106, STONE MOUNTAIN, GA 30083-3107
(404) 292-3600
(404) 297-2600
Mailing address
778 RAYS RD, SUITE 106, STONE MOUNTAIN, GA 30083-3107
(404) 292-3600
(404) 297-2600
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LPC003621
GA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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