DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CAROL BLAKELY BA

MEDICARE: CAROL BLAKELY BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548563539
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL BLAKELY BA
Provider Business Mailing Address
First Line : 6767 W. TROPICANA
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4755
Country : US
Telephone Number : 702-209-0370
Fax Number : 702-463-1851
Provider Business Practice Location Address
First Line : 6767 W. TROPICANA
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4755
Country : US
Telephone Number : 702-209-0370
Fax Number : 702-463-1851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2010
Last Update Date : 07/13/2022

Similar Medicare Providers

1679873533 — MRS. SHARIE TYSETTE NELSON
Practice Location Address:
6767 W TROPICANA AVE STE 100
LAS VEGAS, NV
89103-4755
Practice Phone: 702-209-0370
Practice Fax: 702-463-1851
1790069169 — MRS. BESCHELLE JUANMIA LOCKHART
Practice Location Address:
6767 W TROPICANA AVE STE 100
LAS VEGAS, NV
89103-4755
Practice Phone: 702-209-0370
Practice Fax: 702-463-1851
1023389236 — MS. SU CHO M.A.
Practice Location Address:
6767 W TROPICANA AVE STE 100
LAS VEGAS, NV
89103-4755
Practice Phone: 702-209-0370
Practice Fax:
1871832329 — KAYLA RILEY
Practice Location Address:
6767 W TROPICANA AVE STE 100
LAS VEGAS, NV
89103-4755
Practice Phone: 702-209-0370
Practice Fax: 702-463-1851
1912344227 — KIFLE MENGESHA
Practice Location Address:
6767 W TROPICANA AVE STE 100
LAS VEGAS, NV
89103-4755
Practice Phone: 702-209-0370
Practice Fax: 702-463-1851
1629405840 — SUNRISE HEALTH CLINICS LLC
Practice Location Address:
6767 W TROPICANA AVE STE 100
LAS VEGAS, NV
89103-4755
Practice Phone: 702-209-0370
Practice Fax: 702-463-1851

Directions to “ CAROL BLAKELY BA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.