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Organization
SUMMERLIN MARRIAGE AND FAMILY THERAPY CLINICS, LLC
Active
Organization
SUMMERLIN MARRIAGE AND FAMILY THERAPY CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA BIBALOU-NGANGHA LPC (CEO)
(404) 470-3541
Entity
Organization
Contact information
Practice address
555 N POINT CTR E # 464, ALPHARETTA, GA 30022-8269
(404) 470-3541
Mailing address
555 N POINT CTR E # 464, ALPHARETTA, GA 30022-8269
(404) 470-3541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8612073
AETNA
GA
Enumeration date
04/13/2026
Last updated
05/20/2026
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