Individual provider · Type 1 NPI

Mary Lou Bennett Martin, MED

Counselor · Cumming, GA

NPI number 1811801228 Active

Practice location

104 Pilgrim Village Dr Ste 300
Cumming, GA 30040-9232

Call (678) 595-2020 Map

Mailing address

PO Box 2038
Cumming, GA 30028-6038

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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.

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About NPI 1811801228

Mary Lou Bennett Martin, MED's National Provider Identifier is 1811801228, issued on Oct 1, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cumming, GA. The record was last updated on Oct 1, 2026.