Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEY M BLACKWELL, LMFT
Active Sole ProprietorKELLEY M BLACKWELL, LMFT is a Marriage & Family Therapist healthcare provider located in WAVERLY, Tennessee. NPI 1720147119 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · WAVERLY, TN
Registration Details
- NPI Number
- 1720147119
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2006 (19.640672576047 yrs)
- Last Updated
- Jun 10, 2019
- License
-
567 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
795 HOLLY LNWAVERLY, TN, 37185Browse TN providers · Browse ZIP 37185
- Phone
- 9312969813
- Fax
- 9312969853
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
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.