Individual provider · Type 1 NPI

Roy Alln Blankenship, LPC, LMFT, CCADC, CSAT

Professional Counselor · Kennesaw, GA

NPI number 1609078500 Active

Practice location

1301 Shiloh Rd NW Ste 530
Kennesaw, GA 30144-7153

Call (678) 516-6902 Map

Fax (678) 391-5969

Mailing address

1426 Olde Forge Ln
Woodstock, GA 30189-1553

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	C0082
Marriage & Family Therapist	106H00000X	LMFT001409 (GA)
Professional Counselor Primary	101YP2500X	LPC007769 (GA)

Professional Counselor: Definition to come...

Another provider at this address

Center for Authentic Life & Relationship, LLCMental Health Clinic/Center (Including Community Mental Health Center) Kennesaw, GA NPI 1366906778

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About NPI 1609078500

Roy Alln Blankenship, LPC, LMFT, CCADC, CSAT's National Provider Identifier is 1609078500, issued on Jun 3, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 4, 2025.