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MINDDEVELOPERS COUNSELING & SUPERVISION PC
NPI 1629847660
Counselor - Mental Health in Austell, GA

Active since January 01, 2024
6750 CLEARSTREAM WAY, AUSTELL, GA 30168(229) 942-1318 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Minddevelopers Counseling & Supervision Pc NPPES

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

MINDDEVELOPERS COUNSELING & SUPERVISION PC (NPI 1629847660) is a healthcare organization registered as a mental health in Austell, Georgia and active in the NPI registry since January 2024. The organization lists Shannon Renard Wilkerson, Ceo/clinical Therapist & Supervisor, as its authorized official.

NPPES Registry Identity

NPI1629847660
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMINDDEVELOPERS COUNSELING & SUPERVISION PC
Location Address6750 CLEARSTREAM WAYAustell, GA 30168-6719
Mailing Address5284 Floyd Rd Sw Unit 1308Mableton, GA 30126-6113 · (229) 942-1318
Phone(229) 942-1318
Organization SubpartNo
Authorized OfficialShannon Renard WilkersonCeo/clinical Therapist & Supervisor · (229) 942-1318
Enumeration DateJanuary 1, 2024
NPPES CertifiedDecember 30, 2023
✔ NPI 1629847660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6750 CLEARSTREAM WAY, Austell, GA 30168
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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

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 Minddevelopers Counseling & Supervision PC's NPI number?

The NPI number for Minddevelopers Counseling & Supervision PC is 1629847660. It was assigned to this organization in the NPPES registry on January 1, 2024.

Where is Minddevelopers Counseling & Supervision PC located?

Minddevelopers Counseling & Supervision PC is located at 6750 Clearstream Way, Austell, GA 30168. The listed phone number is (229) 942-1318.

What is Minddevelopers Counseling & Supervision PC'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 Minddevelopers Counseling & Supervision PC was last updated on January 1, 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.