P Praxis·MD
● Active Type 2 · Organization

Blackbird And Cornerstone Llc

Counselor·Statesboro, GA· NPI 1265251094 · Enumerated 2024 · 1 years on NPI
Blackbird And Cornerstone Llc is 1 of 7547 counselor organizations in Georgia.
NPI age
1 years
Enumerated 2024-10-08
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mock
Licensed Professional Counselor
Last NPPES update
2024-10-08
Source: monthly bulk 2026-05

How this organization compares

Across 7547 active counselor providers in Georgia.

NPI age
1 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-10Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
326 Myrtle Crossing Dr
Statesboro, GA 304584688
📞 9124897590
Mailing address
175 Pat Mock Road
Statesboro, GA 304586483
📞 9126189568

Authorized official

Carly Melissa Mock, LPC, MS
Licensed Professional Counselor
📞 9126189568

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

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

Practice context

Multi-provider organization. 3 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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