NPI age
14 years
Enumerated 2011-08-15
● Active
Type 1 · Individual
Kelly Rebecca Petaccio, MS LPC CPCS
Petaccio is 1 of 38 counselor providers in Peachtree City and 1 of 5527 in Georgia.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-27
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
14 years
↑ 9 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Practice location
130 Governors Sq Ste B
Peachtree City, GA 302694862
Mailing address
130 Governors Sq Ste B
Peachtree City, GA 302694862
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2005 Cabot Blvd W
Langhorne, PA 190471885
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1457876906 | THE CENTER FOR LIVING BALANCE |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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