P Praxis·MD
● Active Type 1 · Individual

MRS. Krystyna Dubose

Counselor·Locust Grove, GA· NPI 1568795912 · Enumerated 2009 · 16 years on NPI
Dubose is 1 of 3 counselor providers in Locust Grove and 1 of 5527 in Georgia.
NPI age
16 years
Enumerated 2009-09-16
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
16 years
↑ 11 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-09Enumerated in NPPES
2009 2026

Where they practice

Practice location
107 Club Dr
Locust Grove, GA 302483103
📞 4074609344
Mailing address
107 Club Dr
Locust Grove, GA 302483103

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2125 Portlight Dr
Orlando, FL 328146951
📞 4074609344

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X
  • Developmental Therapist
    A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by...
    taxonomy 222Q00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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