Individual
SIDNEY BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2112 N ROAN ST STE 300, JOHNSON CITY, TN 37601-2519
(865) 588-3173
(865) 244-3579
Mailing address
2112 N ROAN ST STE 300, JOHNSON CITY, TN 37601-2519
(865) 588-3173
(865) 244-3579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
101YP2500X
Professional Counselor
Primary
8000
TN
Other
Enumeration date
04/24/2025
Last updated
01/12/2026
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