KENTRELL BLATCHER LAC NPI 1306393376

NPI Information

NPI: 1306393376
Provider Name: KENTRELL BLATCHER, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3084 WESTFORK DR STE B
BATON ROUGE, LA
ZIP 70816
Phone: (504) 430-8685
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Kentrell Blatcher, LAC is an addiction (substance use disorder) counselor in Baton Rouge, LA. Kentrell Blatcher, LAC NPI is 1306393376. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3084 WESTFORK DR STE B
BATON ROUGE, LA
ZIP 70816-254
Phone: (504) 430-8685
Fax: (225) 246-8507

The enumeration date for this NPI number is 9/7/2016 and was last updated on 5/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	5099	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3249341	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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