Blackstock, Andria

Blackstock, Andria is an individual health care provider with primary practice located at 103 John B Gordon Spur , Thomaston GA 30286-6528. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Blackstock, Andria can be contacted via phone (770) 229-3407.

Contact Information

Primary practice address
103 John B Gordon Spur Thomaston GA 30286-6528
Phone: (770) 229-3407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 619834 Georgia
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1083468177
LBN Legal business name Blackstock, Andria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2024
Last updated Apr 15th, 2024 - about 8 months 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.

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