P Praxis·MD
● Active Type 1 · Individual

MRS. Stacey Altman Youngblood, LPC

Counselor·Augusta, GA· NPI 1487931069 · Enumerated 2011 · 14 years on NPI
Youngblood is 1 of 216 counselor providers in Augusta and 1 of 7547 in Georgia.
NPI age
14 years
Enumerated 2011-11-09
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-11-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-11Enumerated in NPPES
2011 2026

Where they practice

Practice location
103 Rossmore Pl
Augusta, GA 309095769
📞 7063647165fax 7068697600
Mailing address
446 Flowing Creek Dr
Evans, GA 308096425
📞 7063647165fax 7068697600

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC006539 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Augusta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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