P Praxis·MD
● Active Type 1 · Individual

DR. Erica Clark, LPC

Counselor·Fayetteville, GA· NPI 1598470577 · Enumerated 2023 · 3 years on NPI
Clark is 1 of 78 counselor providers in Fayetteville and 1 of 7547 in Georgia.
NPI age
3 years
Enumerated 2023-01-13
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

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

NPI lifetime · 2023 → 2026

2023-01Enumerated in NPPES
2023 2026

Where they practice

Practice location
455 Dix Lee On Dr Ste 1110
Fayetteville, GA 302143013
📞 4046238955
Mailing address
455 Dix Lee On Dr Ste 1110
Fayetteville, GA 302143013
📞 4046238955

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC012152 taxonomy 101YP2500X

Practice context

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

Recently enumerated nearby: 2 new counselor providers have been added in Fayetteville 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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