Wellformed AI

NPI 1164878401 · live from the CMS NPI Registry

Svetlana Banegas, MS MFT

Marriage & Family Therapist in Marietta, GA. National Provider Identifier 1164878401, active.

NPI record

NPI1164878401 Type 1 · individual
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location70 Whitlock Pl Sw Ste 300, Marietta, GA 30064
Practice phone770-316-0813
EnumeratedMay 5, 2016
Last updatedFebruary 23, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist primary106H00000X001491 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.