P Praxis·MD
● Active Type 1 · Individual

Alyse Fandrich

Counselor·Baxley, GA· NPI 1508418203 · Enumerated 2019 · 6 years on NPI
Fandrich is 1 of 5 counselor providers in Baxley and 1 of 7547 in Georgia.
NPI age
6 years
Enumerated 2019-07-12
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-07-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
755 S Main St
Baxley, GA 315130130
📞 9123674614fax 9123679048
Mailing address
755 S Main St
Baxley, GA 315130130
📞 9123674614fax 9123679048

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC010854 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 3 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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