# BLAKENEY COUNSELING & WELLNESS LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790389484
- **Authorized official:** AHMAD BLAKENEY (OWNER)
- **Authorized official phone:** (704) 201-8038

## Contact information

- **Practice address:** 4401 E INDEPENDENCE BLVD STE 208G, CHARLOTTE, NC 28205-7485
- **Practice address phone:** (704) 201-8038
- **Mailing address:** 4401 E INDEPENDENCE BLVD STE 208G, CHARLOTTE, NC 28205-7485
- **Mailing address phone:** (704) 201-8038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 11/24/2020