P Praxis·MD
● Active Type 2 · Organization

Molding Passionate Active Creative Kids Corporation

Community/Behavioral Health·Carrollton, GA· NPI 1417700972 · Enumerated 2024 · 2 years on NPI
Molding Passionate Active Creative Kids Corporation is 1 of 2449 community/behavioral health organizations in Georgia.
NPI age
2 years
Enumerated 2024-04-05
Primary specialty
Community/Behavioral Health
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Copelannd
Founder And Program Director
Last NPPES update
2025-11-06
Source: monthly bulk 2026-05

How this organization compares

Across 2449 active community/behavioral health providers in Georgia.

NPI age
2 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 15% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-04Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
302 N Park St
Carrollton, GA 301173056
📞 6788494656
Mailing address
302 N Park St
Carrollton, GA 301173056
📞 6788494656

Authorized official

Demarcus Devon Copelannd, C.L.C
Founder And Program Director
📞 6788494656

Specialties

  • Community/Behavioral Health Primary
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
    taxonomy 261QM0855X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X
  • Early Intervention Provider Agency
    Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with...
    taxonomy 252Y00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • M-PACK
    Type code 5 recorded 2024-04-05

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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