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ROYAL BLAINE CDCA, OBBC
NPI 1740781657
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since February 26, 2018
3622 PROSPECT AVE E, CLEVELAND, OH 44115(216) 633-8733 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Royal Blaine Cdca, Obbc NPPES

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

ROYAL BLAINE CDCA, OBBC (NPI 1740781657) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (CDCA.164704) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1740781657
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROYAL BLAINECredential: CDCA, OBBC
Location Address3622 PROSPECT AVE ECleveland, OH 44115-2704
Mailing Address3798 Glenwood RdCleveland Heights, OH 44121-1650
Phone(216) 633-8733
Sole ProprietorNo
Enumeration DateFebruary 26, 2018
✔ NPI 1740781657 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 OH · CDCA.164704
3622 PROSPECT AVE E, Cleveland, OH 44115
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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.

LISANDRY RODRIGUEZ CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. PAULA HUNT CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MARCIA LYNN THOMPSON
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
CLINT S STANLEY CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
LECRETIA BOLDEN
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MS. MARYBETH MCDONOUGH COUNSELOR TRAINEE
Student in an Organized Health Care Education/Training Program
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MR. RYAN C MOORE SR.
Case Manager/Care Coordinator
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
SHAWN HARDY CDCA
Peer Specialist
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600

Frequently Asked Questions

What is Royal Blaine's NPI number?

The NPI number assigned to this healthcare provider is 1740781657, enumerated as an "individual" on February 26, 2018.

Where is the provider located?

The provider is located at 3622 PROSPECT AVE E CLEVELAND, OH 44115 and the phone number is (216) 633-8733.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).