FAMILY 360 INCORPORATED – Marriage & Family Therapist, NPI 1003113184

FAMILY 360 INCORPORATED is a healthcare provider. based in Conyers, Georgia. specializing in Marriage & Family Therapist. The organization holds a License No. MFT 001191 (GA). The NPI Number for FAMILY 360 INCORPORATED is 1003113184

Main info

Organization
Name
FAMILY 360 INCORPORATED
NPI
1003113184
Phone
(770) 679-0586
Address
2215 EXCHANGE PL SE STE A
Authorized Official
DR. DESMOND ORVILLE MAUL OWNER
Enumeration Date
25 February 2011
Last Update Date
7 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for FAMILY 360 INCORPORATED

  • 2215 EXCHANGE PL SE STE A

    CONYERS, GA 300136723

    Phone: (770) 679-0586

    Fax: (770) 285-6325

    Type: Mailing

  • 2885 YOUTH MONROE RD

    P.O. BOX 592

    LOGANVILLE, GA 300524352

    Phone: (215) 221-4188

    Fax: (770) 554-9349

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30013)

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Reviews

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Frequently asked questions

Is there an official ID for FAMILY 360 INCORPORATED in U.S. healthcare records?
The official identifier for FAMILY 360 INCORPORATED is NPI 1003113184.
Is there an active status for FAMILY 360 INCORPORATED?
For scheduling context, FAMILY 360 INCORPORATED is shown as active in the registry.
What clinical focus is listed for FAMILY 360 INCORPORATED?
At a glance, FAMILY 360 INCORPORATED is tied to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where in Georgia is FAMILY 360 INCORPORATED registered?
Use Conyers, Georgia as the headline location for FAMILY 360 INCORPORATED here.
Can I trust this NPI listing for FAMILY 360 INCORPORATED?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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