MS. CATHALEEN LYNN BLAKE M.A., LPC
NPI 1952642811
Counselor - Professional in Johnson City, TN
Active since March 01, 2013
About Ms. Cathaleen Lynn Blake M.a., Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CATHALEEN LYNN BLAKE M.A., LPC (NPI 1952642811) is an individual professional provider in Johnson City, Tennessee and active in the NPI registry since March 2013.
NPPES Registry Identity
NPI1952642811
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CATHALEEN LYNN BLAKECredential: M.A., LPC
Location Address2700 S ROAN ST STE 203Johnson City, TN 37601-7557
Mailing Address2700 S Roan St Ste 203Johnson City, TN 37601-7557 · (423) 708-6982
Phone(423) 086-9827
Sole ProprietorYes
Enumeration DateMarch 1, 2013
Last NPPES UpdateMay 22, 2019
✔ NPI 1952642811 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2700 S ROAN ST STE 203, Johnson City, TN 37601
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
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
2700 S ROAN ST STE 203
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952642811, enumerated as an "individual" on March 01, 2013.
The provider is located at 2700 S ROAN ST STE 203 JOHNSON CITY, TN 37601 and the phone number is (423) 086-9827.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
