NPI age
4 years
Enumerated 2021-10-13
● Active Type 2 · Organization
Connected Roots Youth Counseling Services Llc
Connected Roots Youth Counseling Services Llc is 1 of 7547 counselor organizations in Georgia.
Primary specialty
Counselor
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bristow
Owner
Last NPPES update
2022-03-28
Source: monthly bulk 2026-05
How this organization compares
Across 7547 active counselor providers in Georgia.
NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
300 Ashley Park Blvd Apt 2014
Newnan, GA 302636419
Mailing address
300 Ashley Park Blvd Apt 2014
Newnan, GA 302636419
Authorized official
Stacey Bristow, BS
Owner
📞 7408071506
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Stacey Bristow Counselor NPI 1619568128
Specialties
-
Counselor PrimaryDefinition to come...
-
Social WorkerA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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