KELLEY M BLACKWELL (NPI# 1720147119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720147119 |
| Entity Type | Individual |
| Full Name | KELLEY M BLACKWELL |
| Credential | LMFT |
| Practice Address |
795 Holly Ln Waverly TN 37185 |
| Mailing Address |
795 Holly Ln Waverly TN 37185-3392 |
| Practice Telephone | 9312969813 |
| Practice Fax Number | 9312969853 |
| Mailing Telephone | 9312969813 |
| Mailing Fax Number | 9312969853 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 567 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 215 Holly Ln, Waverly, TN 371853387 | 9312969813 | 9312969853 |
| Street Address |
795 HOLLY LN |
| City | WAVERLY |
| State | TN |
| Zip Code | 37185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295567 | Tiffany Szabo | Speech-Language Pathologist | 670 Tn- 13, Waverly, TN 37185 | 2015-09-16 |
| 1407266653 | Wallace Mcclure | General Practice | 450 Powers Blvd., Waverly, TN 37185 | 2014-04-28 |
| 1982995346 | Laurel Lea Barrier | Speech-Language Pathologist | 1171 Lockhart Road, Waverly, TN 37185 | 2011-04-20 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1396921946 | Tammy Jo Saffel | Counselor | 205b East Main Street, Waverly, TN 37185 | 2008-01-14 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1063509578 | Ida Suellen Westerman | Counselor | 205 B East Main Street, Waverly, TN 37185 | 2006-10-06 |
| 1801835962 | Noel R Dominguez | Internal Medicine | 209 West Main Street, Waverly, TN 37185 | 2006-06-05 |
| 1730145822 | Waverly Health Care and Rehabilitation Center Inc | Skilled Nursing Facility | 895 Powers Blvd, Waverly, TN 37185 | 2006-04-26 |
| 1417930231 | Air Evac Ems Inc | Ambulance | 336 Highway 13 S, Waverly, TN 37185 | 2005-11-25 |
| Find all providers in zip 37185 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623869 | Holly Meyer | Marriage & Family Therapist | 2022 3rd Ave Nw, Waverly, IA 50677-2010 | 2020-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132599 | Maura Caitlyn Merritt | Marriage & Family Therapist | 4032 Hallborough Way, Hermitage, TN 37076-3290 | 2020-10-19 |
| 1629675350 | Mary Alexandra Coleman | Marriage & Family Therapist | 807 B. Porter Rd, Nashville, TN 37206 | 2020-10-06 |
| 1003423740 | Morgan Bates | Marriage & Family Therapist | 1001 4th Ave N Apt 454, Nashville, TN 37219-1142 | 2020-09-27 |
| 1437766474 | Clinton Timothy Hamm | Marriage & Family Therapist | 105 N Maple St Ste 7, Murfreesboro, TN 37130-3524 | 2020-09-24 |
| 1326653726 | Megan Elizabeth Kandros | Marriage & Family Therapist | 2929 Sidco Dr, Nashville, TN 37204-3709 | 2020-09-11 |
| 1497369508 | Brandon Holt | Marriage & Family Therapist | 2700 Westside Dr Nw Ste 200, Cleveland, TN 37312-3699 | 2020-09-04 |
| 1851918924 | Dominique Gabrielle Braden | Marriage & Family Therapist | 2366 Arbor Pointe Way, Hermitage, TN 37076-3701 | 2020-07-06 |
| 1518581198 | Laura Anderson | Marriage & Family Therapist | 2021 21st Ave S Ste 426, Nashville, TN 37212-4350 | 2020-05-30 |
| 1841811668 | Sarah Frances Shannon | Marriage & Family Therapist | 924 Jordan Cir, White Bluff, TN 37187-4833 | 2020-05-04 |
| 1902426067 | Sara Marciel | Marriage & Family Therapist | 580 Franklin Rd Ste 200, Franklin, TN 37069-8224 | 2020-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.