P Praxis·MD
● Active Type 1 · Individual

Lee Tyson Wade, LPC

Counselor·Valdosta, GA· NPI 1174887483 · Enumerated 2012 · 13 years on NPI
Wade is 1 of 32 counselor providers in Valdosta and 1 of 5527 in Georgia.
NPI age
13 years
Enumerated 2012-07-02
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2012-07-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
13 years
↑ 8 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
1205 Baytree Road, #8
Valdosta, GA 31602
📞 2292445533fax 2292539066
Mailing address
1205 Baytree Road, #8
Valdosta, GA 31602
📞 2292445533fax 2292539066

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X
  • Counselor
    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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