MS. STACEY BRISTOW
NPI 1619568128
Counselor - Mental Health in Newnan, GA

Q: What is Stacey Bristow's NPI number?

The NPI number for Stacey Bristow is 1619568128. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Q: What is Stacey Bristow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Bristow was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 27, 2021

300 ASHLEY PARK BLVD APT 2014, NEWNAN, GA 30263(917) 474-3083 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Stacey Bristow NPPES

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

MS. STACEY BRISTOW (NPI 1619568128) is an individual mental health provider in Newnan, Georgia and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1619568128

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. STACEY BRISTOW

Location Address300 ASHLEY PARK BLVD APT 2014Newnan, GA 30263-6419

Mailing Address300 Ashley Park Blvd Apt 2014Newnan, GA 30263-6419 · (917) 474-3083

Phone(917) 474-3083

Sole ProprietorYes

Enumeration DateJanuary 27, 2021

NPPES CertifiedJanuary 27, 2021

✔ NPI 1619568128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

300 ASHLEY PARK BLVD APT 2014, Newnan, GA 30263

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Other Providers at the Same Location NPPES

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

CONNECTED ROOTS YOUTH COUNSELING SERVICES LLC

Counselor (Professional)

300 ASHLEY PARK BLVD APT 2014
NEWNAN, GA 30263

Coweta County (740) 807-1506

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 Stacey Bristow's NPI number?

The NPI number for Stacey Bristow is 1619568128. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Stacey Bristow located?

Stacey Bristow practices at 300 Ashley Park Blvd Apt 2014, Newnan, GA 30263. The listed phone number is (917) 474-3083.

What is Stacey Bristow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacey Bristow was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.