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

Bodymind Therapeutics, Inc

Organization Professional Counselor · NPI 1427374024

Bodymind Therapeutics, Inc is a Professional Counselor in Carrollton, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 Dixie St
Carrollton, GA 30117-3921
Phone: (770) 838-9806
Fax: (770) 834-9188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC5686 (GA)

Record details

NPI number1427374024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Ceccoli — Owner · (770) 838-9806
NPI enumeratedApril 8, 2010
Last updated in NPPESApril 8, 2010
Mailing address8014 Longleaf Dr, Villa Rica, GA 30180-8666

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