P Praxis·MD
● Active Type 1 · Individual

Tequila Chester

Counselor·Ellenwood, GA· NPI 1417418294 · Enumerated 2019 · 7 years on NPI
Chester is 1 of 3 counselor providers in Ellenwood and 1 of 1686 in Georgia.
NPI age
7 years
Enumerated 2019-03-26
Primary specialty
Counselor
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1686 active counselor providers in Georgia.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
4818 Silverbush Ln
Ellenwood, GA 302946710
📞 7743029476
Mailing address
4818 Silverbush Ln
Ellenwood, GA 302946710
📞 7743029476

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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