Organization
BLAKENEY BEHAVIORAL HEALTH LLC
Active
Organization
BLAKENEY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD BLAKENEY (OWNER)
(704) 201-8038
Entity
Organization
Contact information
Practice address
4401 E INDEPENDENCE BLVD STE 208G, CHARLOTTE, NC 28205-7485
(704) 201-8038
Mailing address
4401 E INDEPENDENCE BLVD STE 208G, CHARLOTTE, NC 28205-7485
(704) 201-8038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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