P Praxis·MD
● Active Type 1 · Individual

MS. Mary Callaway Logan, LPC, M.DIV., FELLOW

Counselor·Atlanta, GA· NPI 1245440254 · Enumerated 2007 · 19 years on NPI
Logan is 1 of 18 counselor providers in Atlanta and 1 of 162 in Georgia.
NPI age
19 years
Enumerated 2007-05-22
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 162 active counselor providers in Georgia.

NPI age
19 years
↑ 13 yr above median (6 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
1200 Ponce De Leon Ave Ne
Atlanta, GA 303064602
📞 4049316395
Mailing address
1200 Ponce De Leon Ave Ne
Atlanta, GA 303064602
📞 4049316395

Specialties

  • Counselor Primary
    Definition to come...
    GA license #000758 taxonomy 101YP1600X

Identifiers

TypeValueNotes
01 (GA) 000758 LICENSED PROFESSIONAL COU

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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