P Praxis·MD
● Active Type 1 · Individual

Rajeive Antwan Manradgh, LAPC, NCC

Counselor·Loganville, GA· NPI 1700321320 · Enumerated 2017 · 9 years on NPI
Manradgh is 1 of 35 counselor providers in Loganville and 1 of 5527 in Georgia.
NPI age
9 years
Enumerated 2017-01-05
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-01-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
9 years
↑ 4 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-01Enumerated in NPPES
2017 2026

Where they practice

Practice location
109 White Rose Ct
Loganville, GA 300528644
📞 6786974153
Mailing address
109 White Rose Ct
Loganville, GA 300528644
📞 6786974153

Specialties

  • Counselor Primary
    Definition to come...
    GA license #APC005768 taxonomy 101YM0800X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new counselor providers have been added in Loganville 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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