Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACEY HAWTHORNE BLACKWELL, BSW., CIT
ActiveAddiction (Substance Use Disorder) Counselor · PINEVILLE, LA
Registration Details
- NPI Number
- 1245347376
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2006 (19.660562906018 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R1971 (LA)
Practice Information
- Address
-
MEADOW LANEUNIT 6PINEVILLE, LA, 71360Browse LA providers · Browse ZIP 71360
- Phone
- 3184846400
- Fax
- 3184875704
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PINEVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| EDWARD LYTLE | BCSAC | 1518974872 |
| MISS MARIA ANNE SIMONS | CIT | 1750390407 |
| BETTY TETU | CAC | 1801900915 |
| MR. PHILLIP MICHAEL COCO | LAC | 1306950449 |
| MR. JOHN DAVID MURPHY | LMFT, MAC, CSAT | 1710092945 |
| CHARLES E THOMAS | SSC,CIT. | 1437264660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.