EARLEAN BLACKWELL
NPI 1023677713
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marietta, GA

Active since June 06, 2019
1865 WALDREP CIR SE, MARIETTA, GA 30060(678) 491-0078 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Earlean Blackwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EARLEAN BLACKWELL (NPI 1023677713) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Marietta, Georgia and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1023677713
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameEARLEAN BLACKWELL
Location Address1865 WALDREP CIR SEMarietta, GA 30060-4927
Mailing Address1865 Waldrep Cir SeMarietta, GA 30060-4927 · (678) 239-2239
Sole ProprietorYes
Enumeration DateJune 6, 2019
NPI 1023677713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1865 WALDREP CIR SE, Marietta, GA 30060

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1865 WALDREP CIR SE
MARIETTA, GA 30060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earlean Blackwell's NPI number?

The NPI number for Earlean Blackwell is 1023677713. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Earlean Blackwell located?

Earlean Blackwell practices at 1865 Waldrep Cir SE, Marietta, GA 30060. The listed phone number is (678) 491-0078.

What is Earlean Blackwell's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Earlean Blackwell was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.