Anita Mullins, MFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001390 Issued in GA

Practice address

2205 Riverstone Blvd Ste 205
Canton, GA 30114-5250

Phone

(770) 720-5011

Fax

(770) 345-1088

NPI assigned

Dec 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Craig Wellness and Recovery

  • Addiction Medicine (Family Medicine) Physician
  • Canton, GA
  • NPI 1992671242
  NPD

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1538534276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 RIVERSTONE BLVD STE 205",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145250",
            "telephone_number": "770-720-5011",
            "fax_number": "770-345-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 RIVERSTONE BLVD STE 205",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145250",
            "telephone_number": "770-720-5011",
            "fax_number": "770-345-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "ANITA",
        "credential": "MFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niang Muang, DMD
• Sarah Muccillo, MS, ATC, LAT
• Marsha R Mudrey, LPC
• Marie Hagood Mulkey, APRN FNP-BC
• Krista Mullen, SLP
• Sumayya Fazal Muneer, MD
• Samuel Wangunu Muraguri, PHARM.D.
• Muse Counseling, LLC
• Alison Mutton, RN
• Rosemary Ngendo Mwangi

• Marriage & Family Therapist in Canton, GA
• Providers in Canton, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.