Search › Georgia › 101YP2500X
Stacey Youngblood, LPC
NPI 1487931069 · on the registry since 2011 · sole proprietor
Practice
- Address
- 103 Rossmore Pl
Augusta, GA 30909 - Phone
- (706) 364-7165
- Fax
- (706) 869-7600
- Organisation at this address
- Transitions Of Augusta
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia