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MARIANA BRADY SHIVELY MA, LPC, RPT
NPI 1215427752
Counselor - Mental Health in Canton, GA

Active since May 10, 2018
220 OAKSIDE LN, CANTON, GA 30114(678) 807-1050 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2023, May 10, 2018 (2 updates tracked since 2018).

About Mariana Brady Shively Ma, Lpc, Rpt NPPES

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

MARIANA BRADY SHIVELY MA, LPC, RPT (NPI 1215427752) is an individual mental health provider in Canton, Georgia, licensed in Georgia (LPC011898) and active in the NPI registry since May 2018. She maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1215427752
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIANA BRADY SHIVELYCredential: MA, LPC, RPT
Location Address220 OAKSIDE LNCanton, GA 30114-6413
Mailing Address224 Woodglen DrWoodstock, GA 30188-3726 · (305) 812-6610
Phone(678) 807-1050
Sole ProprietorNo
Enumeration DateMay 10, 2018
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1215427752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in GA · LPC011898✔ Licensed in GA · APC006304
220 OAKSIDE LN, Canton, GA 30114
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Secondary Practice Location 1

Location 1175 Gwinnett DrLawrenceville, GA 30046-8444 · Phone (678) 209-2394

Other Providers at the Same Location NPPES 8

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

UMA T DAYA P.A.
Physician Assistant
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050
GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050
RICHARD F HAMAKER P.A.
Physician Assistant (Medical)
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050
SARAH GASPERSON NP
Nurse Practitioner (Pediatrics)
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050
PAOLA JULIANA SUAREZ M.D.
Pediatrics
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050
DR. ALICE JYOTHI PHILIP M.D.
Family Medicine
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050
ERVIN WILLIAM NOLASCO APC
Counselor (Professional)
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050
AMANDA GABRIELLA MOR
Social Worker (Clinical)
220 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050

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 Mariana Shively's NPI number?

The NPI number for Mariana Shively is 1215427752. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Mariana Shively located?

Mariana Shively practices at 220 Oakside Ln, Canton, GA 30114. The listed phone number is (678) 807-1050.

What is Mariana Shively's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mariana Shively was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.