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

Family 360 Incorporated

Organization Marriage & Family Therapist · NPI 1003113184

Family 360 Incorporated is a Marriage & Family Therapist in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011

Practice location Address checks out

2215 Exchange Pl SE Ste A
Conyers, GA 30013-6723
Phone: (770) 679-0586
Fax: (770) 554-9349
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFT 001191 (GA)

Record details

NPI number1003113184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desmond Maul — Owner · (770) 679-0586
NPI enumeratedFebruary 25, 2011
Last updated in NPPESFebruary 7, 2024
Certification dateNovember 19, 2020
Mailing address2215 Exchange Pl Se Ste A, Conyers, GA 30013-6723

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