Mt. Bethel Shepherd Center Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2583 Issued in GA

Legal business name

MT. BETHEL SHEPHERD CENTER INC.

Practice address

4608 Lower Roswell Rd
Marietta, GA 30068-4237

Phone

(678) 571-5119

NPI assigned

Mar 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donnie Mayfield, MS.,LPC

Title

President

Phone

(678) 571-5119

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1003057746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 LOWER ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684237",
            "telephone_number": "678-571-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 LOWER ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684237",
            "telephone_number": "678-571-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. BETHEL SHEPHERD CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-571-5119",
        "authorized_official_credential": "MS.,LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Moyal, LCSW
• Joseph H Moyers, MD
• MRM Medical Group
• Gaspar Msangi, M.D.
• Nokuthula Nondumiso Msimanga, MD
• Mt. Kenn Nursing, LLC
• Caitlin Virginia Mueller, DO
• Michael Mueller, PH.D., BCBA
• Isma Mughal, PHARMD
• Sulman Mughal, MD

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.