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NPI 1023533106
● Active Type 2 · Organization
Modern Path. Llc
Counselor · Atlanta, GA · NPI 1023533106
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Enumerated 2017 · 8 years on NPI
Modern Path. Llc is 1 of 1686 counselor organizations in Georgia.
NPI age
8 years
Enumerated 2017-08-09
Primary specialty
Counselor
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Fuentes
Owner
Last NPPES update
2019-06-18
Source: monthly bulk 2026-05
How this organization compares
Across 1686 active counselor providers in Georgia.
NPI age
8 years
≈ at median (7 yr)
Practice locations
2
1 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-08 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
3720 Chamblee Dunwoody Rd Ste D2
Atlanta, GA 303412064
📞 6788029355
Mailing address
3720 Chamblee Dunwoody Rd Ste D2
Atlanta, GA 303412064
📞 6788029355
Additional practice locations
1 secondary location on file with NPPES.
Location 2
5440 Lawrenceville Hwy Nw
Lilburn, GA 300475927
📞 6788029355
Authorized official
Nicole M Fuentes, LPC, LMHC
Owner
📞 6788029355
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Counselor
Primary
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
GA license #LPC004808 taxonomy 101Y00000X
Counselor
Definition to come...
FL license #MH7359 taxonomy 101YM0800X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
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Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.