Michael W. McNulty, LPC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC000664 Issued in GA

Legal business name

MICHAEL W. MCNULTY, LPC, LLC

Practice address

2330 Scenic Hwy S Ste 204
Snellville, GA 30078-3115

Phone

(770) 289-8217

Fax

(888) 502-0589

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wayne McNulty, LPCNPI 1013934090

Title

Sole Proprietor

Phone

(770) 289-8217

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Wayne McNulty, LPC

  • Mental Health Counselor
  • Snellville, GA
  • NPI 1013934090
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679660666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 204",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-289-8217",
            "fax_number": "888-502-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 204",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-289-8217",
            "fax_number": "888-502-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. MCNULTY, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "770-289-8217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC000664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella Paige Meredith, MM,MS, CCC-SLP
• Brittany Merritt, MD
• Pamela K. Merritt, LCSW
• Metro Testing Center
• Michael S Kaplan PHD MD PC
• Christian Mickens
• Lauren Middleton, PT
• Jennifer Barnes Millbrooks, NURSE PRACTITIONER
• Marcus Robert Miller, D.D.S.
• Robyn M Miller, MD

• Mental Health Counselor in Snellville, GA
• Providers in Snellville, 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 Jul 21, 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.