P Praxis·MD
● Active Type 1 · Individual

Rodney Mallory

Counselor·Stone Mountain, GA· NPI 1194312108 · Enumerated 2020 · 5 years on NPI
Mallory is 1 of 15 counselor providers in Stone Mountain and 1 of 1686 in Georgia.
NPI age
5 years
Enumerated 2020-12-23
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1686 active counselor providers in Georgia.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Practice location
2300 W Park Pl Ste 135
Stone Mountain, GA 300873561
📞 6783301400fax 6783301405
Mailing address
5665 Southland Dr
Stone Mountain, GA 300875272
📞 6784782559

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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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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