Provider Demographics
NPI:1255811410
Name:MUNDOS LATINOS COUNSELING & TRAINING LLC
Entity type:Organization
Organization Name:MUNDOS LATINOS COUNSELING & TRAINING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:EDNA
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-579-2833
Mailing Address - Street 1:2440 SANDY PLAINS ROAD
Mailing Address - Street 2:BUILDING 21 SUITE 200
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-7217
Mailing Address - Country:US
Mailing Address - Phone:770-993-9700
Mailing Address - Fax:770-993-9800
Practice Address - Street 1:316 ALEXANDER ST SE STE 8
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2001
Practice Address - Country:US
Practice Address - Phone:404-579-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty