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

Lisa Mustillo Psychotherapy

Organization Clinical Social Worker · NPI 1275277782

Lisa Mustillo Psychotherapy is a Clinical Social Worker in Kennesaw, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1301 Shiloh Rd NW Ste 860
Kennesaw, GA 30144-7174
Phone: (917) 992-7896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1275277782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Mustillo — Licensed Clinical Social Worker · (917) 992-7896
NPI enumeratedApril 21, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address180 Montgomery St Ne, Marietta, GA 30060-1440

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