MEDICARE: OLIVIA BLAKEY

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
1	101YM0800X	Mental Health Counselor	2839	TN

General Provider Information

NPI Number	:	1982569471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA BLAKEY

Provider Business Mailing Address
First Line	:	948A BATTLEFIELD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 21ST AVE S STE 306
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-4929
Country	:	US
Telephone Number	:	704-340-6595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “ OLIVIA BLAKEY ” Practice Location

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