CAROL ANN BLAHA LCPC
NPI 1417088576
Counselor - Professional in Peoria, IL

The NPI number for Carol Blaha is 1417088576. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

The NPPES record for Carol Blaha was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 08, 2007

330 SW WASHINGTON ST, PEORIA, IL 61602(309) 676-2400(309) 676-6037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carol Ann Blaha Lcpc NPPES

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

CAROL ANN BLAHA LCPC (NPI 1417088576) is an individual professional provider in Peoria, Illinois and active in the NPI registry since March 2007.

NPI1417088576

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCAROL ANN BLAHACredential: LCPC

Location Address330 SW WASHINGTON STPeoria, IL 61602-1417

Mailing Address330 Sw Washington StPeoria, IL 61602-1417 · (309) 676-2400 · Fax (309) 676-6037

Fax(309) 676-6037

Sole ProprietorNo

Enumeration DateMarch 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417088576 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

330 SW WASHINGTON ST, Peoria, IL 61602

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

Counselor (Mental Health)