Stacy Jaynes Anderson, MED, LPC - Counselor in Douglasville, GA

Stacy Jaynes Anderson, MED, LPC is a Counselor - Mental Health based in Douglasville, Georgia. Stacy Jaynes Anderson is licensed to practice in Georgia (license number LPC004243) and her current practice location is 6130 Prestley Mill Rd, Suite A, Douglasville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 949-9675.

NPI number for Stacy Jaynes Anderson is 1528029089 and her current mailing address is 6130 Prestley Mill Rd, Suite A, Douglasville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528029089.

Contact Information

Stacy Jaynes Anderson, MED, LPC
6130 Prestley Mill Rd, Suite A,
Douglasville, GA 30134-2288
(770) 949-9675
(770) 949-9676

Map and Direction


Healthcare Provider's Profile

Full NameStacy Jaynes Anderson
GenderFemale
SpecialityCounselor - Mental Health
Location6130 Prestley Mill Rd, Douglasville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528029089
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Stacy Jaynes Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528029089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC004243 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Jaynes Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Jaynes Anderson, MED, LPC
6130 Prestley Mill Rd, Suite A,
Douglasville, GA 30134-2288

Ph: (770) 949-9675
Stacy Jaynes Anderson, MED, LPC
6130 Prestley Mill Rd, Suite A,
Douglasville, GA 30134-2288

Ph: (770) 949-9675

Reviews and Comments


Counselor in Douglasville, GA

Shawnnetta N Green, LAPC
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Phone: 770-364-6561    
Dr. Joy S Moses, PH.D. NCSC NCC LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 7421 Douglas Blvd, Suite 239, Douglasville, GA 30135
Phone: 678-448-8913    

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