P Praxis·MD
● Active Type 1 · Individual

Renee Bernadette Ambush, IMS, LM

Counselor·Stockbridge, GA· NPI 1972325488 · Enumerated 2024 · 1 years on NPI
Ambush is 1 of 2 counselor providers in Stockbridge and 1 of 162 in Georgia.
NPI age
1 years
Enumerated 2024-10-26
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 162 active counselor providers in Georgia.

NPI age
1 years
↓ 5 yr below median (6 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-10Enumerated in NPPES
2024 2026

Where they practice

Practice location
3156 Mount Zion Rd Apt 305
Stockbridge, GA 302814179
📞 4437229488
Mailing address
3156 Mount Zion Rd Apt 305
Stockbridge, GA 302814179
📞 4437229488

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP1600X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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