Active NPI
Mountain Mindfulness Therapy, LLC
- Clinical Social Worker
- Morganton, GA
National Provider Identifier
1659890929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004103
- Legal business name
- MOUNTAIN MINDFULNESS THERAPY, LLC
- Practice address
- 12304 Morganton Hwy Unit 812
Morganton, GA 30560-3296 - Phone
- (404) 566-7761
- NPI assigned
- Sep 18, 2017
- Last updated
- Mar 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Nelson, LCSW
- Title
- LCSW
- Phone
- (404) 566-7761
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Social Worker | 1041C0700X | 004103 | GA | Primary |
Addresses
Primary practice location
12304 Morganton Hwy Unit 812
Morganton, GA 30560-3296
Mailing address
PO Box 812
Morganton, GA 30560-0812
Phone (404) 566-7761
National Provider Directory
National Provider DirectoryLocations
12304 Morganton Hwy
Unit 812
Morganton, GA 30560
Phone (404) 566-7761
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Morganton, GA
- NPI 1114948551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1659890929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 812",
"city": "MORGANTON",
"state": "GA",
"postal_code": "305600812",
"telephone_number": "404-566-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12304 MORGANTON HWY UNIT 812",
"city": "MORGANTON",
"state": "GA",
"postal_code": "305603296",
"telephone_number": "404-566-7761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN MINDFULNESS THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-18",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "404-566-7761",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "004103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.