P Praxis·MD
● Active Type 1 · Individual

Deaetta Grinnage, LPC

Counselor·Loganville, GA· NPI 1548822398 · Enumerated 2019 · 6 years on NPI
Grinnage is 1 of 35 counselor providers in Loganville and 1 of 5527 in Georgia.
NPI age
6 years
Enumerated 2019-07-02
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
6 years
≈ at median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
299 Cooper Rd Ste B
Loganville, GA 300522579
📞 7702174336
Mailing address
3711 Wynship Ct
Snellville, GA 300396799
📞 3024235754

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1017 Fayetteville Rd Se
Atlanta, GA 303162932
📞 4044869034

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC013200 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (GA) LPC013200 PROFESSIONAL COUNSELOR LICENSE

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new counselor providers have been added in Loganville 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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