P Praxis·MD
● Active Type 2 · Organization

Heavenly Therapeutic Services Llc

Counselor·Fayetteville, GA· NPI 1184025587 · Enumerated 2014 · 11 years on NPI
Heavenly Therapeutic Services Llc is 1 of 7547 counselor organizations in Georgia.
NPI age
11 years
Enumerated 2014-09-04
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blocker
Lpc
Last NPPES update
2014-09-04
Source: monthly bulk 2026-05

How this organization compares

Across 7547 active counselor providers in Georgia.

NPI age
11 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-09Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
110 Habersham Dr, Ste 116
Fayetteville, GA 302141381
📞 7709462312
Mailing address
110 Habersham Dr, Ste 116
Fayetteville, GA 302141381

Authorized official

Fredric Darnell Blocker
Lpc
📞 7709462312

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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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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