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NNK 4 L.I.F.E.
NPI 1588178487
Counselor - Mental Health in Monticello, GA

Active since November 30, 2017
1194 147TH ST STE 5, MONTICELLO, GA 31064(678) 561-3091(404) 795-8974 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Jan 26, 2023, Jun 11, 2019 and 3 more (6 updates tracked since 2017).

About Nnk 4 L.i.f.e. NPPES

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

NNK 4 L.I.F.E. (NPI 1588178487) is a healthcare organization registered as a mental health in Monticello, Georgia and active in the NPI registry since November 2017. The organization maintains 2 additional practice locations and lists Nicole N Benton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588178487
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameNNK BEHAVIORAL HEALTH GROUP LLC
Location Address1194 147TH ST STE 5Monticello, GA 31064-8068
Mailing Address3826 Salem Rd # 136Covington, GA 30016-4528 · (678) 561-3091 · Fax (404) 795-8974
Phone(678) 561-3091
Fax(404) 795-8974
Organization SubpartNo
Authorized OfficialNicole N BentonCeo · (404) 438-3677
Enumeration DateNovember 30, 2017
Last NPPES UpdateDecember 31, 20246 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1588178487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · 8941
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 8941 (GA)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1194 147TH ST STE 5, Monticello, GA 31064
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Other Names 1

Doing Business AsNnk 4 L.i.f.e.

Secondary Practice Locations 2

Location 13885 Crestwood Pkwy NW Ste 200Duluth, GA 30096-5004 · Phone (678) 561-3091 · Fax (404) 795-8974
Location 2640 Georgia 138Riverdale, GA 30274-3027 · Phone (678) 561-3091

Other Identifiers 2

Medicaid003181947JGA
Medicaid003181947AGA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. NICOLE N BENTON LPC
Counselor (Mental Health)
1194 147TH ST STE 5
MONTICELLO, GA 31064
Jasper County (678) 561-3091
MR. RANDELL ARMOND MORGAN SR. LPC,CAC II, GCADCII
Counselor (Professional)
1194 147TH ST STE 5
MONTICELLO, GA 31064
Jasper County (678) 215-3468
SOBER NOTES ADDICTION COUNSELING LLC
Clinic/Center (Adult Mental Health)
1194 147TH ST STE 5
MONTICELLO, GA 31064
Jasper County (678) 215-3468

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 Nnk Behavioral Health Group LLC's NPI number?

The NPI number for Nnk Behavioral Health Group LLC is 1588178487. It was assigned to this organization in the NPPES registry on November 30, 2017. The provider is doing business as Nnk 4 L.I.F.E..

Where is Nnk Behavioral Health Group LLC located?

Nnk Behavioral Health Group LLC is located at 1194 147th St Ste 5, Monticello, GA 31064. The listed phone number is (678) 561-3091.

What is Nnk Behavioral Health Group LLC'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 Nnk Behavioral Health Group LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.