BILL NEFF BLACKMON JR. (NPI# 1154610103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154610103 |
| Entity Type | Individual |
| Full Name | BILL NEFF BLACKMON JR. |
| Other Name | BILL NEFF BLACKMON JR. |
| Practice Address |
3508 Andover Dr Bedford TX 76021-2926 |
| Practice Telephone | 8177810188 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2062 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3508 ANDOVER DR |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255987756 | James Fenimore | Marriage & Family Therapist | 44 Village Grn, Bedford, NY 10506-1246 | 2019-08-12 |
| 1386847176 | Karen L. Fleming.sherman | Marriage & Family Therapist | 15 Kingdom Ridge Rd, Bedford, NY 10506-2005 | 2007-06-08 |
| 1225231012 | Diane Louise Vaccarello | Marriage & Family Therapist | 264 S River Rd, Bedford, NH 03110-6824 | 2007-06-07 |
| 1134270820 | Feather D Randalll | Marriage & Family Therapist | 1903 Central Dr Ste 102, Bedford, TX 76021-5876 | 2007-01-16 |
| 1952889644 | Lauren Ashley Lopez | Marriage & Family Therapist | 3901 Airport Fwy Ste 107, Bedford, TX 76021-6117 | 2018-08-03 |
| 1366703795 | Andrea M Hay | Marriage & Family Therapist | 1243 Shed Rd, Bedford, PA 15522-8584 | 2012-06-01 |
| 1588968838 | New England Institute for Marriage and Family Therapy, Pllc | Marriage & Family Therapist | 116 S River Rd, Bldg E, 2nd Floor, Bedford, NH 03110-6734 | 2010-12-30 |
| 1952617128 | Bedford Family Therapy, LLC | Marriage & Family Therapist | 10 Commerce Park N, Unit 1a, Bedford, NH 03110-6905 | 2010-08-26 |
| 1073771606 | Amanda Pooler | Marriage & Family Therapist | 10 Commerce Park N, Unit 1a, Bedford, NH 03110-6905 | 2008-05-30 |
| 1780708776 | Allison Doyle | Marriage & Family Therapist | 10 Commerce Park N, Unit 1a, Bedford, NH 03110-6905 | 2007-03-17 |
| Find all providers in BEDFORD | ||||
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| 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.