MRS. ANDRIA BLACKSTOCK - NPI 1083468177 - Counselor in Thomaston, GA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Mrs. Andria Blackstock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANDRIA BLACKSTOCK (NPI 1083468177) is an individual counselor in Thomaston, Georgia and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1083468177

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. ANDRIA BLACKSTOCK

Location Address103 JOHN B GORDON SPURThomaston, GA 30286-6528

Mailing Address103 John B Gordon SpurThomaston, GA 30286-6528 · (770) 229-3407

Phone(770) 229-3407

Sole ProprietorNo

Enumeration DateApril 15, 2024

NPPES CertifiedApril 15, 2024

✔ NPI 1083468177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedRehabilitation CounselorTaxonomy 225C00000X · License 619834 (GA)

103 JOHN B GORDON SPUR, Thomaston, GA 30286

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Frequently Asked Questions

What is Andria Blackstock's NPI number?

The NPI number assigned to this healthcare provider is 1083468177, enumerated as an "individual" on April 15, 2024.

Where is the provider located?

The provider is located at 103 JOHN B GORDON SPUR THOMASTON, GA 30286 and the phone number is (770) 229-3407.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.