P Praxis·MD
● Active Type 1 · Individual

MS. Miranda L. Fallen-Bobo, LPC, NCC

Counselor·College Park, GA· NPI 1821498809 · Enumerated 2014 · 11 years on NPI
Fallen-Bobo is 1 of 29 counselor providers in College Park and 1 of 5527 in Georgia.
NPI age
11 years
Enumerated 2014-08-27
Primary specialty
Counselor
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-03
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
11 years
↑ 6 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
3
In the 16% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-08Enumerated in NPPES
2014 2026

Where they practice

Practice location
3729 Main St
College Park, GA 303373544
📞 6785594043
Mailing address
3729 Main St
College Park, GA 303373544
📞 6785594043

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X
  • Counselor
    Definition to come...
    taxonomy 101YP1600X
  • Counselor
    Definition to come...
    taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 4 other active providers share 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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