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Organization

MODERN PATH. LLC

Active
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Organization

MODERN PATH. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS M MARZO LPC, LMHC (OWNER)
(678) 802-9355
Entity
Organization

Contact information

Practice address
3720 CHAMBLEE DUNWOODY RD STE D2, ATLANTA, GA 30341-2064
(678) 802-9355
Mailing address
3720 CHAMBLEE DUNWOODY RD STE D2, ATLANTA, GA 30341-2064
(678) 802-9355

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004808
GA
101YM0800X
Mental Health Counselor
MH7359
FL

Other

Enumeration date
08/09/2017
Last updated
07/08/2026
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