P Praxis·MD
● Active Type 1 · Individual

MS. Tanya L Gustafson, LAMFT

Marriage & Family Therapist·Kennesaw, GA· NPI 1407280456 · Enumerated 2013 · 12 years on NPI
Gustafson is 1 of 14 marriage & family therapist providers in Kennesaw and 1 of 1258 in Georgia.
NPI age
12 years
Enumerated 2013-08-27
Primary specialty
Marriage & Family Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-09-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1258 active marriage & family therapist providers in Georgia.

NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Practice location
1815 Old 41 Hwy Nw, Suite 110
Kennesaw, GA 301524420
📞 6784689103fax 5203332906
Mailing address
1815 Old 41 Hwy Nw, Suite 110
Kennesaw, GA 301524420
📞 6784689103fax 5203332906

Specialties

  • Marriage & Family Therapist Primary
    A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
    GA license #MFT001356 taxonomy 106H00000X

Practice context

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

Recently enumerated nearby: 1 new marriage & family therapist provider has been added in Kennesaw 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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