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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: August 30, 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.

MR. RYAN C MOORE SR.
Case Manager/Care Coordinator
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. ANTOINETTE MARLENE WHITT
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MADISON BREWER
Counselor (Professional)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
DARLA MICHELE CHARACTER-JOHNSON CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
PETER GABRIEL INOSHITA
Specialist/Technologist, Health Information (Registered Record Administrator)
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
REBECCA THWING
Student in an Organized Health Care Education/Training Program
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
KATHERINE ANN FANTA LPC
Counselor (Professional)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600

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 Royal Blaine's NPI number?

The NPI number for Royal Blaine is 1740781657. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Where is Royal Blaine located?

Royal Blaine practices at 3622 Prospect Ave E, Cleveland, OH 44115. The listed phone number is (216) 633-8733.

What is Royal Blaine'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 Royal Blaine was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.