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General NPI Number Information
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NPI Number | 1477621928
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Entity Type | Organization
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Legal Business Name | J. BLACKWELL & ASSOCIATES, INC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3109 JOHN A MERRITT BLVD
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City | NASHVILLE
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State | TN
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Zip | 37209-1509
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Country | US
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Telephone | 615-865-8330
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Fax | 615-865-8330
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Provider Business Mailing Address
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Address Line | PO BOX 280956
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City | NASHVILLE
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State | TN
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Zip | 37228-0956
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Country | US
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Telephone | 615-865-8330
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Fax | 615-865-8082
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. LEE T JONES
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Credential |
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Telephone | 615-865-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MD0000024165
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD018561
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License Number State | TN
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