SANDRA BLANCH
NPI 1336814847
Counselor - Mental Health in Tupelo, MS
Active since August 16, 2021
About Sandra Blanch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA BLANCH (NPI 1336814847) is an individual mental health provider in Tupelo, Mississippi and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1336814847
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSANDRA BLANCH
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416
Phone(662) 640-4595
Fax(662) 680-6416
Sole ProprietorNo
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1336814847 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2434 S EASON BLVD, Tupelo, MS 38804
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336814847, enumerated as an "individual" on August 16, 2021.
The provider is located at 2434 S EASON BLVD TUPELO, MS 38804 and the phone number is (662) 640-4595.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.