P Praxis·MD
● Active Type 2 · Organization

Tara Pettit Deloach Llc

Clinic/Center·Augusta, GA· NPI 1124897145 · Enumerated 2024 · 2 years on NPI
Tara Pettit Deloach Llc is 1 of 247 clinic/center organizations in Georgia.
NPI age
2 years
Enumerated 2024-01-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Deloach
Owner
Last NPPES update
2024-01-02
Source: monthly bulk 2026-05

How this organization compares

Across 247 active clinic/center providers in Georgia.

NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-01Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
930 Stevens Creek Rd
Augusta, GA 309073200
📞 7063433661
Mailing address
930 Stevens Creek Rd
Augusta, GA 309073200
📞 7063433661

Authorized official

Tara Pettit Deloach, LMFT
Owner
📞 7063433661

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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