Individual
MS. DOTTIE S BLADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1570 WAVERLY RD, HOLSTON COUNSELING SERV, KINGSPORT, TN 37664
(423) 224-1300
(423) 224-1321
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW4548
TN
1041C0700X
Clinical Social Worker
LSW4548
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184295
ANTHEM PROF TRIGON HOLSTO
—
01
—
334969
VALUEOPTIONS GROUP
—
01
—
368130
MANAGED HEALTH NET
—
01
—
3920247
MEDICAID CROSSO GRP
TN
01
—
3987069
MEDICAID CROSSO
TN
01
—
4111436
MAGELLAN NAVIGATOR
—
01
—
5665594
FIRST HEALTH
—
Enumeration date
08/13/2006
Last updated
09/11/2025
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