Individual
ERICA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LAKEVIEW PARK RD APT 44, COLONIAL HEIGHTS, VA 23834-1688
(804) 641-0024
Mailing address
159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
(513) 513-6237
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
VA
171M00000X
Case Manager/Care Coordinator
—
VA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
01/28/2026
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