Stacey Gilbreath
Individual provider Active NPI Community/Behavioral Health Agency · Rock Spring, GA
NPI 1669908075 · NPPES record last updated May 4, 2017
Key facts
- NPI
- 1669908075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 1116 Bicentennial TRL
Rock Spring, GA 30739-2314 - Phone
- (423) 991-0034
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1116 Bicentennial TRL
Rock Spring, GA 30739-2314
Mailing address
1116 Bicentennial TRL
Rock Spring, GA 30739-2314
Other providers in Rock Spring, GA
- Calvary Healthcare, Inc
- Stephen Brent Clark
- David Stephen Cofer
- Tara Michele Dennison
- Stacey Michelle Foley
- Jennifer Nicole Hennon
- Highland Rivers Community Service Board
- Independent Physical Therapy of Ga, LLC
- Jimmy Simpson Foundation, Inc.
- Jimmy Simpson Foundation, Inc.
All providers in Rock Spring, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.