MR. BLAKE RANDOLPH NUNNELEY LPC NPI 1326562901

NPI Information

  • NPI: 1326562901
  • Provider Name: MR. BLAKE RANDOLPH NUNNELEY, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3626 N HALL ST STE 530
    DALLAS, TX
    ZIP 75219
  • Phone: (214) 606-2484

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NPI Details

MR. Blake Randolph Nunneley, LPC is a professional counselor in Dallas, TX. MR. Blake Randolph Nunneley, LPC NPI is 1326562901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3626 N HALL ST STE 530
DALLAS, TX
ZIP 75219-105
Phone: (214) 606-2484
Fax: (214) 942-3304

The enumeration date for this NPI number is 7/26/2017 and was last updated on 7/21/2022.

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
1101YP2500XCounselorProfessional67032TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

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