DR. MARLO DEMETRA MATHIS D.MIN, MA, LPC
NPI 1639621931
Counselor - Mental Health in Morrow, GA

Q: What is Marlo Mathis's NPI number?

The NPI number for Marlo Mathis is 1639621931. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Q: What is Marlo Mathis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marlo Mathis was last updated on November 3, 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.

Active since November 03, 2016

1396 SOUTHLAKE PLAZA DR, MORROW, GA 30260(770) 473-2640(770) 473-2601 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Marlo Demetra Mathis D.min, Ma, Lpc NPPES

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

DR. MARLO DEMETRA MATHIS D.MIN, MA, LPC (NPI 1639621931) is an individual mental health provider in Morrow, Georgia, licensed in Georgia (055836474) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1639621931

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDR. MARLO DEMETRA MATHISCredential: D.MIN, MA, LPC

Location Address1396 SOUTHLAKE PLAZA DRMorrow, GA 30260-1756

Mailing Address1396 Southlake Plaza DrMorrow, GA 30260-1756 · (770) 473-2640 · Fax (770) 473-2601

Phone(770) 473-2640

Fax(770) 473-2601

Sole ProprietorYes

Enumeration DateNovember 3, 2016

✔ NPI 1639621931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · 055836474

1396 SOUTHLAKE PLAZA DR, Morrow, GA 30260

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Other Providers at the Same Location NPPES 4

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

MRS. NICHELLE J REEFER

Counselor (Mental Health)

1396 SOUTHLAKE PLAZA DR
MORROW, GA 30260

Clayton County (770) 473-2640

LEKISHA YVETTE GLENN MS, NCC, LAPC

Counselor (Professional)

1396 SOUTHLAKE PLAZA DR
MORROW, GA 30260

Clayton County (770) 473-2592

ELANTA THOMAS R.N

Registered Nurse

1396 SOUTHLAKE PLAZA DR
MORROW, GA 30260

Clayton County (770) 473-2640

CHILD, YOUTH, ADOLESCENTS, AND FAMILIES

Intermediate Care Facility, Mental Illness

1396 SOUTHLAKE PLAZA DR
MORROW, GA 30260

Clayton County (770) 473-2640

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 Marlo Mathis's NPI number?

The NPI number for Marlo Mathis is 1639621931. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Where is Marlo Mathis located?

Marlo Mathis practices at 1396 Southlake Plaza Dr, Morrow, GA 30260. The listed phone number is (770) 473-2640.

What is Marlo Mathis'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 Marlo Mathis was last updated on November 3, 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.