Anderson, Stacy Jaynes
Anderson, Stacy Jaynes is an individual health care provider with primary practice located at 6130 Prestley Mill Rd Suite A, Douglasville GA 30134-2288. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Anderson, Stacy Jaynes can be contacted via phone (770) 949-9675.Contact Information
Primary practice address
6130 Prestley Mill Rd Suite A
Douglasville GA 30134-2288
Phone: (770) 949-9675
Fax: (770) 949-9676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC004243 | Georgia |
Profile Details
| NPI number | 1528029089 |
|---|---|
| LBN Legal business name | Anderson, Stacy Jaynes |
| Credentials | M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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