Mr Raymond Blackwell, LADAC II - Counselor in Brush Creek, TN

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Mr Raymond Blackwell, LADAC II is a Counselor - Addiction (substance Use Disorder) based in Brush Creek, Tennessee. Mr Raymond Blackwell is licensed to practice in Tennessee (license number LDC0000001425) and his current practice location is 832 Main St South, Brush Creek, Tennessee. He can be reached at his office (for appointments etc.) via phone at (615) 630-8908.

NPI number for Mr Raymond Blackwell is 1710599543 and his current mailing address is 811 Royal Elm Cir, Hartsville, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710599543.

Contact Information

Mr Raymond Blackwell, LADAC II
832 Main St South,
Brush Creek, TN 38547
(615) 630-8908
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Raymond Blackwell
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location832 Main St South, Brush Creek, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710599543
  • Provider Enumeration Date: 08/21/2020
  • Last Update Date: 09/28/2020

Medical Identifiers

Medical identifiers for Mr Raymond Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710599543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LDC0000001425 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Raymond Blackwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Raymond Blackwell, LADAC II
811 Royal Elm Cir,
Hartsville, TN 37074-2004

Ph: (615) 330-0161		Mr Raymond Blackwell, LADAC II
832 Main St South,
Brush Creek, TN 38547

Ph: (615) 630-8908

Reviews and Comments


Counselor in Brush Creek, TN


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