Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marlo Demetra Mathis, DMIN, MA, LPC

Individual provider Mental Health Counselor · NPI 1639621931

Dr. Marlo Demetra Mathis, DMIN, MA, LPC is a Mental Health Counselor in Morrow, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1396 Southlake Plaza Dr
Morrow, GA 30260-1756
Phone: (770) 473-2640
Fax: (770) 473-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 055836474 (GA)

Record details

NPI number1639621931
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMIN , MA , LPC
Sole proprietorYes
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 3, 2016

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