Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mnodern Ecclesia

Organization Counselor · NPI 1952118051

Mnodern Ecclesia provides Counselor services in Stone Mountain, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

597 San Pablo Dr
Stone Mountain, GA 30083-3855
Phone: (573) 479-0490
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1952118051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Willie Singleton — Director · (573) 447-9049
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing addressPo Box 262, Caruthersville, MO 63830-0262

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