Individual provider · Type 1 NPI

Mariana Brady Shively, MA, LPC, RPT

Mental Health Counselor · Canton, GA

NPI number 1215427752 Active

Practice location

220 Oakside Ln
Canton, GA 30114-6413

Call (678) 807-1050 Map

Mailing address

224 Woodglen Dr
Woodstock, GA 30188-3726

Other practice locations

  • 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 · (678) 209-2394

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XAPC006304 (GA)
Mental Health Counselor Primary 101YM0800XLPC011898 (GA)

Mental Health Counselor: Definition to come...

8 other providers at this address

Other mental health counselor providers in Canton

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About NPI 1215427752

Mariana Brady Shively, MA, LPC, RPT's National Provider Identifier is 1215427752, issued on May 10, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, GA. The record was last updated on Apr 5, 2023.