P Praxis·MD
● Active Type 1 · Individual

Tracey J Van Dyke, MA S/T

Counselor·Tucker, GA· NPI 1790106185 · Enumerated 2014 · 12 years on NPI
Van Dyke is 1 of 47 counselor providers in Tucker and 1 of 5527 in Georgia.
NPI age
12 years
Enumerated 2014-01-02
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2014-01-02
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
12 years
↑ 7 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-01Enumerated in NPPES
2014 2026

Where they practice

Practice location
4823 N Royal Atlanta Dr
Tucker, GA 300843806
📞 7709392121
Mailing address
4823 N Royal Atlanta Dr
Tucker, GA 300843806
📞 7709392121

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new counselor providers have been added in Tucker 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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