P Praxis·MD
● Active Type 1 · Individual

Mariana Brady Shively, MA, LPC, RPT

Counselor·Canton, GA· NPI 1215427752 · Enumerated 2018 · 8 years on NPI
Shively is 1 of 37 counselor providers in Canton and 1 of 5527 in Georgia.
NPI age
8 years
Enumerated 2018-05-10
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
8 years
↑ 3 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Practice location
220 Oakside Ln
Canton, GA 301146413
📞 6788071050
Mailing address
224 Woodglen Dr
Woodstock, GA 301883726
📞 3058126610

Additional practice locations

1 secondary location on file with NPPES.

Location 2
175 Gwinnett Dr
Lawrenceville, GA 300468444
📞 6782092394

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC011898GA license #APC006304 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 8 new counselor providers have been added in Canton in the last 180 days. See all →
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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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