NPI 1003113184

Family 360 Incorporated

Organisation Marriage & Family Therapist Conyers, GA

Practice location

Address: 2215 Exchange Pl SE STE a, Conyers, GA 30013-6723
Phone: (770) 679-0586
Fax: (770) 554-9349

Authorised official

Name: Desmond Orville Maul
Title: Owner
Phone: (770) 679-0586

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT 001191 (GA)

Other Marriage & Family Therapist providers in Georgia →

Registry record

NPI: 1003113184
Entity type: Organization
NPI issued: 25 Feb 2011
Record last updated: 7 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.