Kelley M Blackwell in Waverly - Marriage & Family Therapist
Kelley M Blackwell - NPI 1720147119
Kelley M Blackwell is a Marriage & Family Therapist in Waverly, Tennessee. Kelley M Blackwell practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kelley M Blackwell is 1720147119. The last update date is 2019-06-10.
Kelley M Blackwell's current location address is 795 Holly Ln, Waverly, Tennessee. You can contact this provider via phone number 9312969813 and fax number 9312969853. The mailing address for Kelley M Blackwell is 795 Holly Ln, Waverly, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley M Blackwell |
|---|---|
| Address | 795 Holly Ln, Waverly, Tennessee |
| Phone Number | 9312969813 |
| Fax Number | 9312969853 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1720147119 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2019-06-10 |
Provider Mailing Address Detail
| Address | 795 Holly Ln |
|---|---|
| City | Waverly |
| State | Tennessee (TN) |
| Post Code | 371853392 |
| Phone Number | 9312969813 |
| Fax Number | 9312969853 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 567 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Post Comment/ Review Below
What is the Kelley M Blackwell's 1720147119?
The Kelley M Blackwell's NPI (National Provider Identifier) Number is 1720147119. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelley M Blackwell is located?
The Kelley M Blackwell is situated at the following address: 795 Holly Ln, Waverly, TN, 371853392.
What is the area of specialization for Kelley M Blackwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelley M Blackwell is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720147119 to Kelley M Blackwell?
The Centers for Medicare & Medicaid Services originally issued the 1720147119 to Kelley M Blackwell on 2006-12-08.
As of what date were the Kelley M Blackwell's details last updated?
The information pertaining to the Kelley M Blackwell, including its address, specialty, and other details, was most recently updated on 2019-06-10.
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