Healthcare Provider Details

I. General information

NPI: 1366363335
Provider Name (Legal Business Name): LOUIS FRANCIS YORK SR. MA, LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 CLACK RD
AUBURN GA
30011-2230
US

IV. Provider business mailing address

4450 CLACK RD
AUBURN GA
30011-2230
US

V. Phone/Fax

Practice location:
  • Phone: 706-315-9111
  • Fax:
Mailing address:
  • Phone: 706-315-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC016760
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: