Healthcare Provider Details

I. General information

NPI: 1881508430
Provider Name (Legal Business Name): MARLENA JOY PAYTON LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 OAK HILL BLVD STE 300
NEWNAN GA
30265-2667
US

IV. Provider business mailing address

20 OAK HILL BLVD STE 300
NEWNAN GA
30265-2667
US

V. Phone/Fax

Practice location:
  • Phone: 404-844-8632
  • Fax:
Mailing address:
  • Phone: 404-844-8632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT000964
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: