P Praxis·MD
● Active Type 2 · Organization

Bodymind Therapeutics, Inc.

Counselor·Carrollton, GA· NPI 1427374024 · Enumerated 2010 · 16 years on NPI
Bodymind Therapeutics, Inc. is 1 of 7547 counselor organizations in Georgia.
NPI age
16 years
Enumerated 2010-04-08
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ceccoli
Owner
Last NPPES update
2010-04-08
Source: monthly bulk 2026-05

How this organization compares

Across 7547 active counselor providers in Georgia.

NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-04Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
415 Dixie St
Carrollton, GA 301173921
📞 7708389806fax 7708349188
Mailing address
8014 Longleaf Dr
Villa Rica, GA 301808666
📞 7708389806fax 7708349188

Authorized official

Theodore H Ceccoli, LPC
Owner
📞 7708389806

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC5686 taxonomy 101YP2500X

Practice context

Multi-provider organization. 5 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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