Individual provider · Type 1 NPI
Raymond Blackwell, LADAC II
Addiction (Substance Use Disorder) Counselor · Brush Creek, TN
NPI number
1710599543
Active
Practice location
832 Main St South
Brush Creek, TN 38547
Mailing address
811 Royal Elm Cir
Hartsville, TN 37074-2004
Other practice locations
- 5511 Virginia Way Ste 300, Brentwood, TN 37027-7611 · (615) 994-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LDC0000001425 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1710599543
Raymond Blackwell, LADAC II's National Provider Identifier is 1710599543, issued on Aug 21, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brush Creek, TN. The record was last updated on Aug 10, 2026.