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EDWARD L BLACKBURN
NPI 1033874722
Counselor in Southfield, MI

Active since November 08, 2021
25232 CODE RD, SOUTHFIELD, MI 48033(248) 409-4185 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward L Blackburn NPPES

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

EDWARD L BLACKBURN (NPI 1033874722) is an individual counselor in Southfield, Michigan and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1033874722
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEDWARD L BLACKBURN
Location Address25232 CODE RDSouthfield, MI 48033-5806
Mailing Address25232 Code RdSouthfield, MI 48033-5806 · (248) 867-9889
Phone(248) 409-4185
Sole ProprietorNo
Enumeration DateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1033874722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
25232 CODE RD, Southfield, MI 48033
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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 Edward Blackburn's NPI number?

The NPI number for Edward Blackburn is 1033874722. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Edward Blackburn located?

Edward Blackburn practices at 25232 Code Rd, Southfield, MI 48033. The listed phone number is (248) 409-4185.

What is Edward Blackburn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Edward Blackburn was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.