Search › Georgia › 101YM0800X
Stacey Bristow
NPI 1619568128 · on the registry since 2021 · sole proprietor
Practice
- Address
- 300 Ashley Park Blvd Apt 2014
Newnan, GA 30263 - Phone
- (917) 474-3083
- Organisation at this address
- Connected Roots Youth Counseling Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2021-01-27
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