MEDICARE: MRS. KAREN O'MALLEY M.S., LMFT, RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT001590	GA

General Provider Information

NPI Number	:	1770960619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN O'MALLEY M.S., LMFT, RPT

Provider Business Mailing Address
First Line	:	PO BOX 801666
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-1235
Country	:	US
Telephone Number	:	678-938-3897
Fax Number	:

Provider Business Practice Location Address
First Line	:	2487 CEDARCREST RD STE 122
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-2729
Country	:	US
Telephone Number	:	678-938-3897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	04/02/2026

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