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

Mr. Marty Dewayne Brock, MA, CCAADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427485036

Mr. Marty Dewayne Brock, MA, CCAADC is an Addiction (Substance Use Disorder) Counselor in Bainbridge, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

214 Prosperity Church Rd
Bainbridge, GA 39817-8278
Phone: (229) 220-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence 10114352 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C0115 (GA)

Record details

NPI number1427485036
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCAADC
Sole proprietorYes
NPI enumeratedSeptember 27, 2013
Last updated in NPPESSeptember 27, 2013

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