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

Mnodern Ecclesia

Organization Counselor · NPI 1952118051

Mnodern Ecclesia is a Counselor 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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