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MR. MUDDY MUKORO
NPI 1558126201
Counselor - Pastoral in Atlanta, GA

Active since February 20, 2024
2459 ROOSEVELT HWY STE B17, ATLANTA, GA 30337(470) 506-5035 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Muddy Mukoro NPPES

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

MR. MUDDY MUKORO (NPI 1558126201) is an individual pastoral provider in Atlanta, Georgia and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1558126201
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameMR. MUDDY MUKORO
Location Address2459 ROOSEVELT HWY STE B17Atlanta, GA 30337-5592
Mailing Address5560 Twin Lakes DrCollege Park, GA 30349-3792 · (404) 207-8202
Phone(470) 506-5035
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1558126201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
2459 ROOSEVELT HWY STE B17, Atlanta, GA 30337
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Other Providers at the Same Location NPPES

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

MRS. AMBER MARIE BROWN
Counselor (Pastoral)
2459 ROOSEVELT HWY STE B17
ATLANTA, GA 30337
Fulton County (470) 506-5035

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 Muddy Mukoro's NPI number?

The NPI number for Muddy Mukoro is 1558126201. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Muddy Mukoro located?

Muddy Mukoro practices at 2459 Roosevelt Hwy Ste B17, Atlanta, GA 30337. The listed phone number is (470) 506-5035.

What is Muddy Mukoro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Muddy Mukoro was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.