Mateo Family Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MATEO FAMILY SERVICES, LLC

Practice address

2440 Sandy Plains Rd Ste 400
Marietta, GA 30066-7217

Phone

(770) 896-2659

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Niocle Mateo

Title

Owner

Phone

(770) 896-2659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1700389053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BOONES RIDGE PKWY SE",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667217",
            "telephone_number": "770-896-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEO FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "MATEO",
        "authorized_official_first_name": "NIOCLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-896-2659"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Masters, CNM
• Gena Marie Mastrogianakis, M.D.
• Mat Georgia, LLC
• Roseline Matanmi
• John Matechak, DO
• Martynas Matevicius, DC
• Jessica Mathew
• Alice M Mathews, FNP-C
• Natalia Mathews, RBT
• Amber Mathis, RBT

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.