Healthcare Provider Details

I. General information

NPI: 1033462486
Provider Name (Legal Business Name): KARUNA COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 10/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 MASON MILL RD STE 100
DECATUR GA
30033-4075
US

IV. Provider business mailing address

1945 MASON MILL RD STE 100
DECATUR GA
30033-4075
US

V. Phone/Fax

Practice location:
  • Phone: 404-321-4307
  • Fax:
Mailing address:
  • Phone: 404-321-4307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY002239
License Number StateGA

VIII. Authorized Official

Name: DR. MARTHA K PARNELL
Title or Position: CEO
Credential: PHD
Phone: 404-215-4035