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

Bonny Domoto, LPC

Individual provider Mental Health Counselor · NPI 1740173046

Bonny Domoto, LPC is a Mental Health Counselor in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1640 Powers Ferry Rd SE Bldg 14-200
Marietta, GA 30067-1459
Phone: (888) 551-5168
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC015728 (GA)

Record details

NPI number1740173046
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address1640 Powers Ferry Rd Se Ste 200, Marietta, GA 30067-5491

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