NPI age
15 years
Enumerated 2011-02-25
● Active Type 2 · Organization
Family 360 Incorporated
Family 360 Incorporated is 1 of 1,310 marriage & family therapist organizations in Georgia.
Primary specialty
Marriage & Family Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Maul
Owner
Last NPPES update
2024-02-07
Source: CMS NPPES provider record
How this organization compares
Across 1310 active marriage & family therapist providers in Georgia.
NPI age
15 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2024
2011-02Enumerated in NPPES
2011
2024
Where they practice
Primary practice location
2215 Exchange Pl Se Ste A
Conyers, GA 300136723
Mailing address
2215 Exchange Pl Se Ste A
Conyers, GA 300136723
Authorized official
Desmond Orville Maul
Owner
📞 7706790586
Other providers sharing this address
1 individual provider use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Amari Robinson Case Manager/Care Coordinator NPI 1609545623
Specialties
-
Marriage & Family Therapist PrimaryA marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
Practice context
Shared NPPES address. 1 individual provider use this primary address. This does not prove employment or affiliation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.