Provider Demographics
NPI:1881290336
Name:DAVIS, LAKIA KOLTIERA (PMHNP)
Entity type:Individual
Prefix:
First Name:LAKIA
Middle Name:KOLTIERA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 OLD MILTON PKWY STE 175
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-2460
Mailing Address - Country:US
Mailing Address - Phone:470-568-2010
Mailing Address - Fax:470-880-5466
Practice Address - Street 1:3300 OLD MILTON PKWY STE 175
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-2460
Practice Address - Country:US
Practice Address - Phone:470-568-2010
Practice Address - Fax:470-880-5466
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN211130163W00000X
GAAPRN-NP211130363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse