KECIA BLAKELY MSP LMHC LLC NPI 1598446395

NPI Information

NPI: 1598446395
Provider Name: KECIA BLAKELY, MSP, LMHC, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
52189 SCOTT ST
SOUTH BEND, IN
ZIP 46637
Phone: (574) 208-3359
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KECIA BLAKELY, MSP, LMHC, LLC is a mental health counselor in South Bend, IN. KECIA BLAKELY, MSP, LMHC, LLC NPI is 1598446395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

52189 SCOTT ST
SOUTH BEND, IN
ZIP 46637
Phone: (574) 208-3359

The provider's authorized official is Kecia Marie Blakely .
The authorized official title is Owner and has the following contact phone number (574) 800-9681.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

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			Yes

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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