Organization
BAGLEY YOUTH DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIANA BAGLEY M.S., LPC (CEO)
(404) 968-4662
Entity
Organization
Contact information
Practice address
2245 GODBY RD, SUITE 206, COLLEGE PARK, GA 30349-5059
(404) 968-4662
(404) 968-4562
Mailing address
375 WINDERMERE CIR, NEWNAN, GA 30265-2278
(678) 362-7802
(404) 968-4562
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC001132
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503205308A
—
GA
Enumeration date
01/31/2007
Last updated
05/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us