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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARLO DEMETRA MATHIS, D.MIN, MA, LPC

Active Sole Proprietor

DR. MARLO DEMETRA MATHIS, D.MIN, MA, LPC is a Mental Health Counselor healthcare provider located in MORROW, Georgia. NPI 1639621931 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MORROW, GA

Registration Details

NPI Number
1639621931
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2016 (9.5904899477702 yrs)
Last Updated
Nov 3, 2016
License
055836474 (GA)
Sole Proprietor
Yes

Practice Information

Address
1396 SOUTHLAKE PLAZA DR
MORROW, GA, 302601756
Browse GA providers · Browse ZIP 30260
Phone
7704732640
Fax
7704732601
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in MORROW, GA

Name Credential NPI
DR. KRISTINA NEMARD PHD, LPC 1710465463
MRS. NICHELLE J REEFER 1073152294
DR. SHANNON LA'TOYA DARDEN 1386268944
KIMBERLY K JONES 1992459622
KELVIN CORNELIOUS HARRIS 1447053426
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.