GEORGIA ADOLESCENT PROGRAM LLC
NPI 1881590784
Clinic/Center - Mental Health (Including Community Mental Health Center) in Marietta, GA
About Georgia Adolescent Program Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA ADOLESCENT PROGRAM LLC (NPI 1881590784) is a healthcare organization registered as a mental health (including community mental health center) in Marietta, Georgia and active in the NPI registry since October 2026. The organization lists Matthew Dinicola, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Georgia Adolescent Program LLC's NPI number?
The NPI number for Georgia Adolescent Program LLC is 1881590784. It was assigned to this organization in the NPPES registry on October 16, 2026.
Where is Georgia Adolescent Program LLC located?
Georgia Adolescent Program LLC is located at 2255 Sewell Rd Ste 130, Marietta, GA 30062. The listed phone number is (781) 472-0247.
What is Georgia Adolescent Program LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Georgia Adolescent Program LLC was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Georgia Adolescent Program Llc · NPI 1881590784
Mental Health (Including Community Mental Health Center) organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since October 16, 2026.
## Identity
- **NPI:** 1881590784 (Entity type: Organization)
- **Enumerated:** October 16, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Matthew Dinicola, OWNER
## Practice location
- **Address:** 2255 SEWELL RD STE 130, Marietta, GA 30062
- **Phone:** (781) 472-0247
## Record status
- **NPPES last updated:** October 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881590784) · Data from the CMS NPPES public registry.