Organization · NPI-2
Allen Counseling Clinic LLC
Clinic/Center, Adult Mental Health · Marietta, GA
NPI number1487532610
StatusActive
Last updated in NPPESAug 25, 2025
Details
- NPI
- 1487532610
- Entity type
- Organization (NPI-2)
- Legal business name
- Allen Counseling Clinic LLC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2025
- Certification date
- Aug 25, 2025
- Last updated
- Aug 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Allen Counseling Clinic (Doing Business As)
Practice location
1640 Powers Ferry Rd Se Bldg 8-340Marietta, GA 30067-1490
Phone 424-295-6227 · Fax 770-726-1925
Mailing address
4985 Creekside LnPowder Springs, GA 30127-3296
Phone 424-295-6227 · Fax 770-726-1925
Authorized official
Shelly Allen
Ceo
4242956227
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