P Praxis·MD
● Active Type 1 · Individual

Tyknetra Gunnison

Counselor·Conyers, GA· NPI 1699510347 · Enumerated 2024 · 1 years on NPI
Gunnison is 1 of 93 counselor providers in Conyers and 1 of 7547 in Georgia.
NPI age
1 years
Enumerated 2024-06-26
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-26
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
1 years
↓ 8 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-06Enumerated in NPPES
2024 2026

Where they practice

Practice location
1906 Heritage Dr Sw
Conyers, GA 300946264
📞 6785329896
Mailing address
2890 Highway 212 Sw Ste A-218
Conyers, GA 300943363

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC014405 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X

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: 1 new counselor provider has been added in Conyers 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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