Stacy Jaynes Anderson in Douglasville - Mental Health
Stacy Jaynes Anderson - NPI 1528029089
Stacy Jaynes Anderson is a Mental Health in Douglasville, Georgia. Stacy Jaynes Anderson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Stacy Jaynes Anderson is 1528029089. The last update date is 2007-07-08.
Stacy Jaynes Anderson's current location address is 6130 Prestley Mill Rd, Douglasville, Georgia. You can contact this provider via phone number 7709499675 and fax number 7709499676. The mailing address for Stacy Jaynes Anderson is 6130 Prestley Mill Rd, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Jaynes Anderson |
|---|---|
| Address | 6130 Prestley Mill Rd, Douglasville, Georgia |
| Phone Number | 7709499675 |
| Fax Number | 7709499676 |
| Sole Proprietor | X |
| Credentials | M.ED., LPC |
NPI Number Detail
| NPI Number | 1528029089 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6130 Prestley Mill Rd |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301342288 |
| Phone Number | 7709499675 |
| Fax Number | 7709499676 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LPC004243 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacy Jaynes Anderson by the Centers for Medicare & Medicaid Services?
The Stacy Jaynes Anderson has been issued the NPI (National Provider Identifier) 1528029089, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stacy Jaynes Anderson?
The Stacy Jaynes Anderson is physically situated at 6130 Prestley Mill Rd, in the city of Douglasville, state of GA, with the postal code 301342288.
What is Stacy Jaynes Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacy Jaynes Anderson is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did the Stacy Jaynes Anderson receive the assignment of its 1528029089 from the Centers for Medicare & Medicaid Services?
The Stacy Jaynes Anderson was issued its 1528029089 by the Centers for Medicare & Medicaid Services on 2006-03-31.
When was the information regarding Stacy Jaynes Anderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacy Jaynes Anderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.