P Praxis·MD
● Active Type 1 · Individual

Shonda P Dallas, LPC

Counselor·Fairburn, GA· NPI 1003176363 · Enumerated 2012 · 14 years on NPI
Dallas is 1 of 25 counselor providers in Fairburn and 1 of 7547 in Georgia.
NPI age
14 years
Enumerated 2012-05-21
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
324 Breeze Mdw
Fairburn, GA 302136054
📞 7705979746fax 6788345154
Mailing address
324 Breeze Mdw
Fairburn, GA 302136054
📞 7705979746fax 6788345154

Specialties

  • Counselor Primary
    Definition to come...
    GA license #006206 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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