Marietta Counseling Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARIETTA COUNSELING ASSOCIATES

Practice address

17 Aviation Rd SE
Marietta, GA 30060-2411

Phone

(770) 429-9257

Fax

(877) 656-2843

NPI assigned

May 29, 2018

Last updated

May 29, 2018By 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

Ann M Clark, LMFT

Title

Owner

Phone

(770) 429-9257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1467943290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 AVIATION RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602411",
            "telephone_number": "770-429-9257",
            "fax_number": "877-656-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 AVIATION RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602411",
            "telephone_number": "770-429-9257",
            "fax_number": "877-656-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-429-9257",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marietta Chiropractic Clinic,LLC
• Marietta City Schools
• Marietta Counseling
• Marietta Counseling for Children and Adults
• Marietta Counseling Practice
• Marietta Dental Associates.Inc
• Marietta Dental Smiles
• Marietta Dentist

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.