Active NPI 1891343596 Individual Practitioner Female Practitioner

Stacy Blalock , LPC

Counselor - Professional • Mcdonough, GA

Professional Overview & Biography Verified Profile Summary

Stacy Blalock, LPC is a registered healthcare professional specializing in Counselor - Professional in Mcdonough, GA. Practice services are available at 1944 BRANNAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1944 Brannan Rd

Mcdonough, GA 302534310

Telephone 6782896981

Fax 6782896983

Associated Practice Facility / Clinic

🏢 Eagle's Landing Christian Counseling Center, Inc. Facility NPI 1093955205

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mcdonough, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.7 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

86 Specialists

Practicing in Mcdonough, GA (6655 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC011063

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Alicia Saavedra Fant

Counselor

NPI 1124619770

Julie Martin , LPC

Counselor

NPI 1154862258

Licensed Professional Counselor

Tommie Snow , LPC

Counselor - Professional

NPI 1174166029

Licensed Professional Counselor

Mary Keller , LPC

Counselor

NPI 1245622752

Licensed Professional Counselor

Ashley Carr , MA, LPC

Counselor - Professional

NPI 1427596519

Master of Arts, Licensed Professional Counselor

Rebecca Colson , LPC

Counselor - Professional

NPI 1457482325

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 27, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2019

Registered at 1944 BRANNAN RD, MCDONOUGH, GA 302534310 (Tel: 6782896981)

📍

Updated Business Mailing Address August 27, 2019

Registered at 114 RIVEREDGE DR, MCDONOUGH, GA 302524141 (Tel: 7706055953)

👤

Provider Name / Credentials Updated August 27, 2019

Recorded as STACY BLALOCK, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2019

Counselor (License #LPC011063 in GA)

🟢

Initial NPI Registration & Enumeration August 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891343596

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 27, 2019

Last Update: August 27, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

114 Riveredge Dr

Mcdonough, GA 302524141

Phone: 7706055953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.