BLAKE CAMPBELL RAVIN LPC NPI 1538405121

NPI Information

NPI: 1538405121
Provider Name: BLAKE CAMPBELL RAVIN, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
209 BARIUM SPRINGS DRIVE
STATESVILLE, NC
ZIP 28677
Phone: (704) 873-1011
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Blake Campbell Ravin, LPC is a mental health counselor in Statesville, NC. Blake Campbell Ravin, LPC NPI is 1538405121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

209 BARIUM SPRINGS DRIVE
STATESVILLE, NC
ZIP 28677-238
Phone: (704) 873-1011
Fax: (704) 832-2253

The enumeration date for this NPI number is 12/31/2012 and was last updated on 12/31/2012.

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	101YM0800X	Counselor	Mental Health	4277	NORTH CAROLINA	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	4277	OTHER	NORTH CAROLINA	LPC

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: 5/5/2024

NPI Synchronization or Removal

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