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PROVIDENCE COUNSELING SERVICES LLC
NPI 1396194163
Social Worker - Clinical in Kennesaw, GA

Active since June 12, 2016
1301 SHILOH RD NW, STE 840, KENNESAW, GA 30144(678) 942-1115 Get Directions Write a Review

NPPES record last updated: June 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Counseling Services Llc NPPES

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

PROVIDENCE COUNSELING SERVICES LLC (NPI 1396194163) is a healthcare organization registered as a clinical in Kennesaw, Georgia and active in the NPI registry since June 2016. The organization lists Joseph Mulligan, Owner, as its authorized official.

NPPES Registry Identity

NPI1396194163
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROVIDENCE COUNSELING SERVICES LLC
Location Address1301 SHILOH RD NW, STE 840Kennesaw, GA 30144-7147
Mailing Address3626 Steinhauer Rd NeMarietta, GA 30066-4755 · (678) 248-5153
Phone(678) 942-1115
Organization SubpartNo
Authorized OfficialJoseph MulliganOwner · (808) 248-5153
Enumeration DateJune 12, 2016
✔ NPI 1396194163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1301 SHILOH RD NW, Kennesaw, GA 30144
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. LAURIE ANN GIBBONS DC
Chiropractor
1301 SHILOH RD NW, SUITE 510
KENNESAW, GA 30144
Cobb County (770) 653-4822
MCMULLEN CHIROPRACTIC, LLC
Clinic/Center
1301 SHILOH RD NW
KENNESAW, GA 30144
Cobb County (678) 884-0291
BRITTANY MAE BROWNE LMT
Massage Therapist
1301 SHILOH RD NW, SUITE 811
KENNESAW, GA 30144
Cobb County (678) 389-1195
POINCIANA RECOVERY INSTITUTE
Clinic/Center (Adolescent and Children Mental Health)
1301 SHILOH RD NW, SUITE 1531B
KENNESAW, GA 30144
Cobb County (404) 966-3557
DR. CHARLES WILLIAM CILINSKI D.C.
Chiropractor
1301 SHILOH RD NW, STE 1610
KENNESAW, GA 30144
Cobb County (770) 218-1166
JOSHUA ALAN KOLONICK D.C.
Chiropractor
1301 SHILOH RD NW, SUITE 1310
KENNESAW, GA 30144
Cobb County (770) 420-8818
HALIM NAJIB
Specialist (Prosthetics Case Management)
1301 SHILOH RD NW
KENNESAW, GA 30144
Cobb County (770) 289-3486
MELODIE JEANINE MITCHELL D.C.
Chiropractor
1301 SHILOH RD NW, SUITE 510
KENNESAW, GA 30144
Cobb County (404) 915-8623

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 Providence Counseling Services LLC's NPI number?

The NPI number for Providence Counseling Services LLC is 1396194163. It was assigned to this organization in the NPPES registry on June 12, 2016.

Where is Providence Counseling Services LLC located?

Providence Counseling Services LLC is located at 1301 Shiloh Rd NW Ste 840, Kennesaw, GA 30144. The listed phone number is (678) 942-1115.

What is Providence Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Providence Counseling Services LLC was last updated on June 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.