| Doctor Name: | MR. JOHN RANDOLPH MOLDEN |
| NPI Number: | 1023458155 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | CSW004862 |
| Business Practice Address: | 1100 Johnson Ferry Rd Suite 600 Sandy Springs, GA - 303421709 |
| Business Phone Number: | 4042564777 |
| Business Fax Number: | 4042565515 |
| Mailing Address: | 1835 Savoy Dr, Suite 300 ATLANTA |
| State: | GA |
| Postal Code: | 303411072 |
| Phone Number: | 6782889555 |
| Fax Number: | 6782889556 |
| NPI Enumeration Date: | 07/03/2013 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW004862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |