person
Betty G Youngblood, LPC
Mental Health Clinic/Center (Including Community Mental Health Center) in Augusta, Georgia
NPI 1386732691

Betty G Youngblood is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Augusta, GA and is specialized in Mental Health (Including Community Mental Health Center). Betty G Youngblood practices in Augusta, GA and has the professional credentials of LPC. The NPI Number for Betty G Youngblood is 1386732691 and holds a License No. LPC 002863 (Georgia).

The current practice location address for Betty G Youngblood is 3421 Mike Padgett Hwy, Augusta, GA and can be reached out via phone at 706-432-4858 and via fax at 706-432-3780.

Location: 3421 Mike Padgett Hwy, Augusta, GA, 30906-3815
person
Provider Profile Details
NPI Number
1386732691
Provider Name
Betty G Youngblood
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3421 Mike Padgett Hwy, Augusta, GA, 30906-3815
Phone Number
706-432-4858
Fax Number
706-432-3780
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000606317B 05 GA
institution
Provider Business Practice Location Address Details
Address
3421 Mike Padgett Hwy
City
State
Zip
30906-3815
Phone Number
706-432-4858
Fax Number
706-432-3780
person
Provider Business Mailing Address Details
Address
3421 Mike Padgett Hwy
City
State
Zip
30906-3815
Phone Number
706-432-4858
Fax Number
706-432-3780
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
LPC 002863 (Georgia)
Definition
Definition to come...
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