Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1730996273

Organization Mental Health Counselor · NPI 1164346052

1730996273 is a Mental Health Counselor in Marietta, Georgia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2155 Post Oak Tritt Rd Ste 300
Marietta, GA 30062-1651
Phone: (678) 383-9532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1164346052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonita Green — Pmhnp · (404) 759-7213
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address2721 Bench Cir, Ellenwood, GA 30294-5510

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