Owen, Stacey Smoot

Owen, Stacey Smoot is an individual health care provider with primary practice located at 5398 Thomaston Rd Suite B, Macon GA 31220-8110. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Owen, Stacey Smoot can be contacted via phone (478) 476-8868.

Contact Information

Primary practice address
5398 Thomaston Rd Suite B Macon GA 31220-8110
Phone: (478) 476-8868
Fax: (478) 476-8161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003006 Georgia

Profile Details

NPI number 1174679062
LBN Legal business name Owen, Stacey Smoot
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
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.

Request for update

Popular Providers