Healthcare Provider Details

I. General information

NPI: 1295264430
Provider Name (Legal Business Name): JOSEPH ANTONY BLANCHETTE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2017
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 S BELCHER RD
CLEARWATER FL
33764-2829
US

IV. Provider business mailing address

8863 CYPRESS HAMMOCK DR
TAMPA FL
33614-8146
US

V. Phone/Fax

Practice location:
  • Phone: 727-524-4464
  • Fax: 727-538-7272
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH14848
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number0100509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: