BLAQ THERAPY
NPI 1609646256
Counselor - Professional in Mattawan, MI

Q: What is Blaq Therapy's NPI number?

The NPI number for Blaq Therapy is 1609646256. It was assigned to this organization in the NPPES registry on January 4, 2024.

Q: What is Blaq Therapy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blaq Therapy was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 04, 2024

24073 CRESCENT ST, MATTAWAN, MI 49071(734) 802-7667 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blaq Therapy NPPES

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

BLAQ THERAPY (NPI 1609646256) is a healthcare organization registered as a professional in Mattawan, Michigan and active in the NPI registry since January 2024. The organization lists Anter Abdallah, Credentialer, as its authorized official.

NPPES Registry Identity

NPI1609646256

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameBLAQ THERAPY

Location Address24073 CRESCENT STMattawan, MI 49071-8457

Mailing AddressPo Box 714Mattawan, MI 49071-0714

Phone(734) 802-7667

Organization SubpartNo

Authorized OfficialAnter AbdallahCredentialer · (734) 802-7667

Enumeration DateJanuary 4, 2024

NPPES CertifiedJanuary 4, 2024

✔ NPI 1609646256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedArt TherapistTaxonomy 221700000X

Also ListedMusic TherapistTaxonomy 225A00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X

24073 CRESCENT ST, Mattawan, MI 49071

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Blaq Therapy's NPI number?

The NPI number for Blaq Therapy is 1609646256. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Blaq Therapy located?

Blaq Therapy is located at 24073 Crescent St, Mattawan, MI 49071. The listed phone number is (734) 802-7667.

What is Blaq Therapy's specialty?

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

When was this NPI record last updated?

The NPPES record for Blaq Therapy was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.