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MNODERN ECCLESIA
NPI 1952118051
Counselor in Stone Mountain, GA

Active since December 12, 2024
597 SAN PABLO DR, STONE MOUNTAIN, GA 30083(573) 479-0490 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mnodern Ecclesia NPPES

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

MNODERN ECCLESIA (NPI 1952118051) is a healthcare organization registered as a counselor in Stone Mountain, Georgia and active in the NPI registry since December 2024. The organization lists Willie J Singleton, Director, as its authorized official.

NPPES Registry Identity

NPI1952118051
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameMNODERN ECCLESIA
Location Address597 SAN PABLO DRStone Mountain, GA 30083-3855
Mailing AddressPo Box 262Caruthersville, MO 63830-0262 · (573) 497-0490
Phone(573) 479-0490
Organization SubpartNo
Authorized OfficialWillie J SingletonDirector · (573) 447-9049
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1952118051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
597 SAN PABLO DR, Stone Mountain, GA 30083
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Mnodern Ecclesia's NPI number?

The NPI number for Mnodern Ecclesia is 1952118051. It was assigned to this organization in the NPPES registry on December 12, 2024.

Where is Mnodern Ecclesia located?

Mnodern Ecclesia is located at 597 San Pablo Dr, Stone Mountain, GA 30083. The listed phone number is (573) 479-0490.

What is Mnodern Ecclesia's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mnodern Ecclesia was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.