Provider Demographics
NPI:1023458155
Name:MOLDEN, JOHN RANDOLPH III (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:RANDOLPH
Last Name:MOLDEN
Suffix:III
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:678-288-9555
Mailing Address - Fax:678-288-9556
Practice Address - Street 1:1100 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 600
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30342-1709
Practice Address - Country:US
Practice Address - Phone:404-256-4777
Practice Address - Fax:404-256-5515
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2015-01-14
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Provider Licenses
StateLicense IDTaxonomies
GACSW0048621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical