MRS. WENDY J BLACKWOOD


Address: 1422 Caldwell St, Conway, AR 72034-5319
Phone: 5013277224

MRS. WENDY J BLACKWOOD (NPI# 1124239538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124239538
Entity Type Individual
Full Name MRS. WENDY J BLACKWOOD
Credential MS, LAC, NCC
Practice Address 1422 Caldwell St
Conway
AR 72034-5319
Practice Telephone 5013277224
Practice Fax Number 5013277224
Mailing Telephone 5013277224
Mailing Fax Number 5013277224
Enumeration Date 2007-05-25
Last Update Date 2015-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P0801005 AR Behavioral Health & Social Service Providers
N 174400000X Specialist P0801005 AR Other Service Providers

Office Location

Street Address 1422 CALDWELL ST
City CONWAY
State AR
Zip Code 72034-5319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023550548 Leslie Thomas, M.s., Lpc Counselor 1422 Caldwell St, Suite H, Conway, AR 72034-5319 2016-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013563758 Shelby M Perez Case Manager/Care Coordinator 3240 Stermer Rd, Conway, AR 72034 2019-08-16
1467932772 Faith J Parfait Licensed Practical Nurse 1352 Watkins St, Conway, AR 72034 2018-08-16
1043790611 David Adam Steinfeld Nurse Practitioner 855 S German Ln Ste 1, Conway, AR 72034 2018-08-14
1245728484 Conway Behavioral Health, LLC Psychiatry & Neurology 2255 Sturgis Rd, Conway, AR 72034 2018-04-24
1972007292 Eldercare of Arkansas IIi, Inc. Assisted Living Facility 1306 S. Donaghey, Conway, AR 72034 2018-03-21
1528561404 Kouhei Kobayashi Specialist/Technologist 2201 Moix Blvd., Apt. 908, Conway, AR 72034 2018-03-16
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
1508371865 Ebony Latreace Charleston Case Manager/Care Coordinator 3240 Stermer Road, Conway, AR 72034 2017-12-08
1689190647 Denise Annette Aikman Dentist 1210 Hogan Lane, Suite 200, Conway, AR 72034 2017-08-21
1134669138 Hortons Orthotic Lab, Inc. Prosthetic/Orthotic Supplier 635 Dave Ward, Suite 103, Conway, AR 72034 2017-02-24
Find all providers in zip 72034

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598257701 Casondra R Robinson Counselor 1720 Simms St, Conway, AR 72034-6416 2018-06-04
1316461510 Renew Counseling Counselor 1237 Front St, Conway, AR 72032-4101 2017-07-29
1720515638 Poindexter Counseling LLC Counselor 800 Legion St Ste 200b, Conway, SC 29526-4825 2017-05-23
1528489192 Scott K Grainger Counselor 105 Hampton Ridge Rd, Conway, SC 29527-3975 2013-12-26
1194158394 Alan J Hahn Counselor 1308 Oak St Unit A, Conway, AR 72034-5339 2013-08-12
1245570845 Lynn Smith Hucks Counselor 6720 Elbow Rd, Conway, SC 29527-6471 2013-02-20
1831494905 Tresvil Gerard Pack Counselor 930 Wingate St Ste D2, Conway, AR 72034-4837 2011-01-20
1770608598 Lydia Willingham Counselor 1119 3rd Ave, Conway, SC 29526-5135 2007-03-20
1942300975 Phyllis Jordan Stalvey Counselor 400 Laurel St, Conway, SC 29526-4317 2006-09-22
1548362353 Robert Scott Smittle Counselor 1125 Oak St, Suite 201, Conway, AR 72032-4317 2006-09-02
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 72034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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