Healthcare Provider Details

I. General information

NPI: 1255811410
Provider Name (Legal Business Name): MUNDOS LATINOS COUNSELING & TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 ALEXANDER ST SE STE 8
MARIETTA GA
30060-2001
US

IV. Provider business mailing address

2440 SANDY PLAINS ROAD BUILDING 21 SUITE 200
MARIETTA GA
30066-7233
US

V. Phone/Fax

Practice location:
  • Phone: 404-579-2833
  • Fax:
Mailing address:
  • Phone: 770-993-9700
  • Fax: 770-993-9800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARIA EDNA GARCIA
Title or Position: OWNER/THERAPIST
Credential:
Phone: 404-579-2833