My Associates,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY ASSOCIATES,LLC

Practice address

1869 Wicks Valley Drive
Marietta, GA 30062

Phone

(678) 404-1131

NPI assigned

Nov 4, 2014

Last updated

Oct 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Clark

Title

President

Phone

(678) 404-1131

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1194120014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 73021",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300073021",
            "telephone_number": "678-404-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 WICKS VALLEY DRIVE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "678-404-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-404-1131"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999999999999",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milkah W Muthoni, RN
• Amanda V Mutzberg, CNM
• Niisi N Mwanaliti, RBT
• Venetta Diale Belowe Mwengella, NP-C
• Pule Mwenya, NP
• My Chronic Care Management
• My Chronic Care Management LLC
• My East Cobb Dentist, PC
• My Emergency Dental Ga LLC
• My Medical Transporter

• Community/Behavioral Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.