MRS. STACEY ALTMAN YOUNGBLOOD LPC NPI 1487931069

NPI Information

NPI: 1487931069
Provider Name: MRS. STACEY ALTMAN YOUNGBLOOD, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
103 ROSSMORE PL
AUGUSTA, GA
ZIP 30909
Phone: (706) 364-7165
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MRS. Stacey Altman Youngblood, LPC is a professional counselor in Augusta, GA. MRS. Stacey Altman Youngblood, LPC NPI is 1487931069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 ROSSMORE PL
AUGUSTA, GA
ZIP 30909-769
Phone: (706) 364-7165
Fax: (706) 869-7600

The enumeration date for this NPI number is 11/9/2011 and was last updated on 11/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC006539	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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