Organization Active NPI

Mac Family Center

  • Mental Health Counselor
  • Snellville, GA
National Provider Identifier
1740540533
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006296 Issued in GA
Legal business name
MAC FAMILY CENTER
Practice address
2336 Wisteria Dr
230
Snellville, GA 30078-6191
Phone
(770) 979-6000
Fax
(877) 872-1932
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Stacee R Brown
Title
Executive Director
Phone
(770) 979-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 006296 GA Primary

Addresses

Primary practice location

2336 Wisteria Dr
230
Snellville, GA 30078-6191

Mailing address

PO Box 734
Grayson, GA 30017-0013
Phone (404) 955-0875

National Provider Directory

National Provider Directory

Locations

2336 Wisteria Dr
Ste 230
Snellville, GA 30078
Phone (770) 979-6000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1740540533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300170013",
            "telephone_number": "404-955-0875",
            "fax_number": "877-872-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "address_2": "230",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "770-979-6000",
            "fax_number": "877-872-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STACEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-979-6000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "006296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.