MMKG Counseling Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MMKG COUNSELING SERVICES LLC

Practice address

1275 Shiloh Rd NW Ste 3030
Kennesaw, GA 30144-7186

Phone

(770) 712-5020

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlo Keenan, LPCNPI 1326793993

Title

License Professional Counselor

Phone

(770) 712-5020

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, and the practitioner matching its NPPES authorized official.

• Marlo Keenan, LPC

  • Professional Counselor
  • Kennesaw, GA
  • NPI 1326793993
  Authorized official Same address or phone

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1801536438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BARRETT LAKES BLVD NW APT 1226",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447535",
            "telephone_number": "770-712-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 3030",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447186",
            "telephone_number": "770-712-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMKG COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "770-712-5020",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Leggett Mitchell, M.A.
• Joy Mitchell
• Melodie Jeanine Mitchell, D.C.
• Jackson Keith Mize, ATC
• Rebecca Mize, OTRL
• Ambareen Mohamed, O.D.
• Nadia Mohammed, PA
• Diana Molina Maltez
• David Molina, D.D.S
• Jessica Monahan, PT, DPT

• Community/Behavioral Health Agency in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.