Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariana Brady Shively, MA, LPC, RPT

Individual provider Mental Health Counselor · NPI 1215427752

Mariana Brady Shively, MA, LPC, RPT is a Mental Health Counselor in Canton, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2018
Specialties on file
2
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

220 Oakside Ln
Canton, GA 30114-6413
Phone: (678) 807-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 — (678) 209-2394

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC011898 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence APC006304 (GA)

Record details

NPI number1215427752
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , RPT
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

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