Individual provider · Type 1 NPI

Mecca Imani Jordan

Mental Health Counselor · Marietta, GA

NPI number 1144156407 Active

Practice location

1511 Johnson Ferry Rd Ste 125
Marietta, GA 30062-6403

Call (678) 216-2674 Map

Mailing address

2825 S Main St NW Apt 246
Kennesaw, GA 30144-2754

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144156407

Mecca Imani Jordan's National Provider Identifier is 1144156407, issued on Jun 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Jun 23, 2026.