Provider Demographics
NPI:1972662484
Name:FEATHERSTON, STEPHANIE LYNN (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LYNN
Last Name:FEATHERSTON
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:LYNN LITHGOW
Other - Last Name:HESSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5030 GEORGIA BELLE CT STE 2036
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2667
Mailing Address - Country:US
Mailing Address - Phone:770-638-5760
Mailing Address - Fax:770-638-5789
Practice Address - Street 1:5030 GEORGIA BELLE CT STE 2036
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2667
Practice Address - Country:US
Practice Address - Phone:770-638-5760
Practice Address - Fax:770-638-5789
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional