STACIE BLALOCK (NPI# 1841849015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841849015 |
| Entity Type | Individual |
| Full Name | STACIE BLALOCK |
| Practice Address |
1010 E Rose St Lakeland FL 33801-2016 |
| Practice Telephone | 8634133126 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1010 E ROSE ST |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043651219 | Colleen Elizabeth Smith | Social Worker | 1010 E Rose St, Attn Colleen Smith, Lakeland, FL 33801-2016 | 2013-07-16 |
| 1386280956 | Araceli Gauna-scattolini | Counselor | 1010 E Rose St, Lakeland, FL 33801-2016 | 2019-11-19 |
| 1255975678 | Ashton Nance | Counselor | 1010 E Rose St, Lakeland, FL 33801-2016 | 2019-10-29 |
| 1164072211 | Kimberly Favaro | Counselor | 1010 E Rose St, Lakeland, FL 33801-2016 | 2019-09-19 |
| 1194370825 | Antonio Monroe James | Counselor | 1010 E Rose St, Lakeland, FL 33801-2016 | 2019-08-08 |
| 1154899615 | Children's Home Society of Florida | Case Management | 1010 E Rose St, Lakeland, FL 33801-2016 | 2018-11-02 |
| 1003317199 | Idalis Figueroa | Counselor | 1010 E Rose St, Lakeland, FL 33801-2016 | 2018-02-23 |
| 1396255741 | Kayla Renaud | Counselor | 1010 E Rose St, Lakeland, FL 33801-2016 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042644 | Masterpiece Counseling LLC | Counselor | 2420 N Crystal Lake Dr Ste 200, Lakeland, FL 33801-6205 | 2020-04-24 |
| 1609409705 | Sheryl Truluck East | Counselor | 80 Cypress Trl, Lakeland, GA 31635-5433 | 2020-02-17 |
| 1356808786 | Joseph Lee Kelly | Counselor | 900 Old Combee Rd Lot 86, Lakeland, FL 33805-9508 | 2019-02-21 |
| 1629518287 | Bruce Howard Garver | Counselor | 6324 Calusa Dr, Lakeland, FL 33813-3766 | 2017-03-01 |
| 1598115503 | Monica Chambers | Counselor | 2419 Buckingham Ave, Lakeland, FL 33803-3104 | 2016-06-21 |
| 1780040428 | Brittani F Munchel | Counselor | 4404 S Florida Ave Ste 2, Lakeland, FL 33813-2183 | 2016-01-11 |
| 1073901658 | Janet Ghent | Counselor | 5247 Quiet Creek Ln, Lakeland, FL 33811-2028 | 2015-01-05 |
| 1093138687 | Brenda Blockus | Counselor | 3726 Hampton Hills Dr, Lakeland, FL 33810-3867 | 2014-02-03 |
| 1528490893 | James Emory Welch Jr. | Counselor | 1512 Arthur Blvd, Lakeland, FL 33801-7112 | 2013-08-08 |
| 1982951844 | Sonja Orozco | Counselor | 5628 Woodwind Hills Dr, Lakeland, FL 33812-6324 | 2012-08-10 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on STACIE BLALOCK.
| 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.