Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN LUTHER BLAYLOCK
Active Sole ProprietorJOHN LUTHER BLAYLOCK is a Mental Health Clinic healthcare provider located in PHOENIX, Arizona. NPI 1467129478 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · PHOENIX, AZ
Registration Details
- NPI Number
- 1467129478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2021 (4.9787597390245 yrs)
- Last Updated
- Aug 30, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
2432 W PEORIA AVEPHOENIX, AZ, 850294726Browse AZ providers · Browse ZIP 85029
- Phone
- 4804315075
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Other Mental Health Clinic Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. ABDUL KARIM MANSARAY | — | 1053987628 |
| MARTIN NAGBE | — | 1629767686 |
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.