P Praxis·MD
● Active Type 1 · Individual

MR. Mike Latella, CADC-II

Counselor·Peachtree City, GA· NPI 1629624382 · Enumerated 2019 · 6 years on NPI
Latella is 1 of 2 counselor providers in Peachtree City and 1 of 786 in Georgia.
NPI age
6 years
Enumerated 2019-08-16
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 786 active counselor providers in Georgia.

NPI age
6 years
≈ at median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
111 Petrol Pt Ste A-3
Peachtree City, GA 302691550
📞 6785689049
Mailing address
111 Petrol Pt Ste A-3
Peachtree City, GA 302691550
📞 6785689049

Specialties

  • Counselor Primary
    Definition to come...
    GA license #1241 taxonomy 101YA0400X

Identifiers

TypeValueNotes
01 (GA) 3918 GA CERTIFIED DRUG AND ALCOHOL EVALUATOR NUMBER
01 (GA) EO56 CERTIFIED TELE-MEDICAL ELECTRONIC DRUG AND ALCOHOL COUNSELOR
01 (GA) 1241 GA CERTIFIED ALCOHOL AND DRUG COUNSELOR LEVEL II NUMBER
01 (GA) 809429 INTERNATIONALLY CERTIFIED ALCOHOL AND DRUG COUNSELOR

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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