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MR. RAYMOND BLACKWELL LADAC II
NPI 1710599543
Counselor - Addiction (Substance Use Disorder) in Brush Creek, TN

Active since August 21, 2020
832 MAIN ST SOUTH, BRUSH CREEK, TN 38547(615) 630-8908 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2020, Aug 21, 2020 (2 updates tracked since 2020).

About Mr. Raymond Blackwell Ladac Ii NPPES

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

MR. RAYMOND BLACKWELL LADAC II (NPI 1710599543) is an individual addiction (substance use disorder) provider in Brush Creek, Tennessee, licensed in Tennessee (LDC0000001425) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1710599543
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RAYMOND BLACKWELLCredential: LADAC II
Location Address832 MAIN ST SOUTHBrush Creek, TN 38547
Mailing Address811 Royal Elm CirHartsville, TN 37074-2004 · (615) 330-0161
Phone(615) 630-8908
Sole ProprietorYes
Enumeration DateAugust 21, 2020
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2020
✔ NPI 1710599543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TN · LDC0000001425
832 MAIN ST SOUTH, Brush Creek, TN 38547
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Raymond Blackwell's NPI number?

The NPI number for Raymond Blackwell is 1710599543. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Raymond Blackwell located?

Raymond Blackwell practices at 832 Main St South, Brush Creek, TN 38547. The listed phone number is (615) 630-8908.

What is Raymond Blackwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Raymond Blackwell was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.