IndividualActive
Andria Blackstock
NPI 1083468177 · Counselor · Thomaston, GA
Provider details
- NPI number
- 1083468177
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 619834 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
103 John B Gordon Spur
Thomaston, GA 30286-6528
Phone: (770) 229-3407
Approximate (ZIP-level) locationGet directions
Mailing address
103 John B Gordon Spur
Thomaston, GA 30286-6528
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-04-15
- Certified
- 2024-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.