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

Molding Passionate Active Creative Kids Corporation

Organization Mental Health Counselor · NPI 1417700972

Molding Passionate Active Creative Kids Corporation is a Mental Health Counselor in Carrollton, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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Practice location Address checks out

302 N Park St
Carrollton, GA 30117-3056
Phone: (678) 849-4656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Counselor Taxonomy 101YM0800X
Early Intervention Provider Agency Taxonomy 252Y00000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1417700972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demarcus Copelannd — Founder And Program Director · (678) 849-4656
Other names M-Pack
NPI enumeratedApril 5, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address302 N Park St, Carrollton, GA 30117-3056

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