Ms Lola Blevins, MFT is a
Marriage & Family Therapist based in Pine Grove, California. Ms Lola Blevins is licensed to practice in California (license number 105152) and her current practice location is
19881 Ca 88, Unit 2, Pine Grove, California. She can be reached at her office (for appointments etc.) via phone at
(209) 304-8821.
NPI number for Ms Lola Blevins is 1336673821 and her current mailing address is Po Box 182, Volcano, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336673821.
Healthcare Provider's Profile
| Full Name | Ms Lola Blevins |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 19881 Ca 88, Pine Grove, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336673821
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 09/22/2018
Medical Identifiers
Medical identifiers for Ms Lola Blevins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336673821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 105152 (California) | 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. Ms Lola Blevins 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 Address | Practice Location Address |
|---|
Ms Lola Blevins, MFT
Po Box 182,
Volcano, CA 95689-0182
Ph: (209) 304-8821 | Ms Lola Blevins, MFT
19881 Ca 88, Unit 2,
Pine Grove, CA 95665
Ph: (209) 304-8821 |
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