P Praxis·MD
● Active Type 2 · Organization

Ilera Therapy Llc

Counselor·Roswell, GA· NPI 1275280604 · Enumerated 2022 · 4 years on NPI
Ilera Therapy Llc is 1 of 7547 counselor organizations in Georgia.
NPI age
4 years
Enumerated 2022-03-06
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bonvillain
Ceo
Last NPPES update
2022-03-08
Source: monthly bulk 2026-05

How this organization compares

Across 7547 active counselor providers in Georgia.

NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
300 Colonial Center Pkwy Ste 100n
Roswell, GA 300764892
📞 6786648298
Mailing address
100 Commerce Dr Unit 191
Tyrone, GA 302908009

Authorized official

Ashley Bonvillain
Ceo
📞 6786648298

Individual providers at this organization

14 individual providers on file at this primary practice address.

Specialties

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

Practice context

Multi-provider organization. 14 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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