| Staygroundeed Healing, Llc | |
|
1239 Russell Pkwy Ste C9 Warner Robins GA 31088-8697 | |
| (205) 615-1445 | |
| Not Available |
| Full Name | Staygroundeed Healing, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1239 Russell Pkwy Ste C9, Warner Robins, Georgia |
| Authorized Official Name and Position | Chardonney La'shai Washington (MENTAL HEALTH COUNSELOR/OWNER) |
| Authorized Official Contact | 2056151445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staygroundeed Healing, Llc 2101 Broadway Ave Gadsden AL 35904-4715 Ph: (205) 615-1445 | Staygroundeed Healing, Llc 1239 Russell Pkwy Ste C9 Warner Robins GA 31088-8697 Ph: (205) 615-1445 |
| NPI Number | 1508522632 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 04/10/2026 |
| Certification Date | 04/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508522632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
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