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CONNECTED ROOTS YOUTH COUNSELING SERVICES LLC
NPI 1487316808
Counselor - Professional in Newnan, GA

Active since October 13, 2021
300 ASHLEY PARK BLVD APT 2014, NEWNAN, GA 30263(740) 807-1506(678) 306-8663 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connected Roots Youth Counseling Services Llc NPPES

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

CONNECTED ROOTS YOUTH COUNSELING SERVICES LLC (NPI 1487316808) is a healthcare organization registered as a professional in Newnan, Georgia and active in the NPI registry since October 2021. The organization lists Stacey Bristow, Owner, as its authorized official.

NPPES Registry Identity

NPI1487316808
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCONNECTED ROOTS YOUTH COUNSELING SERVICES LLC
Location Address300 ASHLEY PARK BLVD APT 2014Newnan, GA 30263-6419
Mailing Address300 Ashley Park Blvd Apt 2014Newnan, GA 30263-6419 · (917) 474-3083
Phone(740) 807-1506
Fax(678) 306-8663
Organization SubpartNo
Authorized OfficialStacey BristowOwner · (740) 807-1506
Enumeration DateOctober 13, 2021
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1487316808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
300 ASHLEY PARK BLVD APT 2014, Newnan, GA 30263
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STACEY BRISTOW
Counselor (Mental Health)
300 ASHLEY PARK BLVD APT 2014
NEWNAN, GA 30263
Coweta County (917) 474-3083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connected Roots Youth Counseling Services LLC's NPI number?

The NPI number for Connected Roots Youth Counseling Services LLC is 1487316808. It was assigned to this organization in the NPPES registry on October 13, 2021.

Where is Connected Roots Youth Counseling Services LLC located?

Connected Roots Youth Counseling Services LLC is located at 300 Ashley Park Blvd Apt 2014, Newnan, GA 30263. The listed phone number is (740) 807-1506.

What is Connected Roots Youth Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Connected Roots Youth Counseling Services LLC was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.