P Praxis·MD
● Active Type 1 · Individual

MS. Eboni Grace Broussard, MA, NCC

Counselor·MacOn, GA· NPI 1053812982 · Enumerated 2018 · 8 years on NPI
Broussard is 1 of 115 counselor providers in MacOn and 1 of 7547 in Georgia.
NPI age
8 years
Enumerated 2018-02-26
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-02-26
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
8 years
≈ at median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-02Enumerated in NPPES
2018 2026

Where they practice

Practice location
3098 Ashby Dr
MacOn, GA 312041502
📞 4044091039
Mailing address
3098 Ashby Dr
MacOn, GA 312041502
📞 4044091039

Specialties

  • Counselor Primary
    Definition to come...
    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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