Organization Active NPI

Guardian Path LLC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1497567317
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GUARDIAN PATH LLC
Practice address
2524 Kickerillo Way SE
Atlanta, GA 30316-3232
Phone
(470) 690-7227
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Danielle Mooney
Title
Co-Founder
Phone
(470) 690-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2524 Kickerillo Way SE
Atlanta, GA 30316-3232

Mailing address

2524 Kickerillo Way SE
Atlanta, GA 30316-3232
Phone (470) 690-7227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1497567317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 KICKERILLO WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163232",
            "telephone_number": "470-690-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 KICKERILLO WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163232",
            "telephone_number": "470-690-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "470-690-7227"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.