P Praxis·MD
● Active Type 1 · Individual

Wachovia Thornton, LMFT

Marriage & Family Therapist·Montezuma, GA· NPI 1417625799 · Enumerated 2021 · 4 years on NPI
Thornton is 1 of 1 marriage & family therapist providers in Montezuma and 1 of 1258 in Georgia.
NPI age
4 years
Enumerated 2021-09-01
Primary specialty
Marriage & Family Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1258 active marriage & family therapist providers in Georgia.

NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
131 Dogwood Dr
Montezuma, GA 310636303
📞 4782442201
Mailing address
131 Dogwood Dr
Montezuma, GA 310636303
📞 4782442201

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 #MFT001888 taxonomy 106H00000X

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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