AVENUES OF CHANGE
NPI 1043657075
Counselor - Professional in Marietta, GA

Active since May 31, 2013
1568 CLOVERDALE DR SE, MARIETTA, GA 30067(770) 713-4574 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avenues Of Change NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVENUES OF CHANGE (NPI 1043657075) is a healthcare organization registered as a professional in Marietta, Georgia and active in the NPI registry since May 2013. The organization lists Maryann Smolko-self, Owner/lpc, as its authorized official.

NPPES Registry Identity

NPI1043657075
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameAVENUES OF CHANGE
Location Address1568 CLOVERDALE DR SEMarietta, GA 30067-7406
Mailing Address132 Gallery CourtAcworth, GA 30101 · (770) 713-4574
Organization SubpartNo
Authorized OfficialMaryann Smolko-selfOwner/lpc · (770) 713-4574
Enumeration DateMay 31, 2013
NPI 1043657075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC004657
1568 CLOVERDALE DR SE, Marietta, GA 30067

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1568 CLOVERDALE DR SE
MARIETTA, GA 30067
Psychologist (Cognitive & Behavioral)
1568 CLOVERDALE DR SE
MARIETTA, GA 30067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avenues Of Change's NPI number?

The NPI number for Avenues Of Change is 1043657075. It was assigned to this organization in the NPPES registry on May 31, 2013.

Where is Avenues Of Change located?

Avenues Of Change is located at 1568 Cloverdale Dr SE, Marietta, GA 30067. The listed phone number is (770) 713-4574.

What is Avenues Of Change's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Avenues Of Change was last updated on May 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.