SUSAN BLALOCK


Address: 2323 W Front St, Tyler, TX 75702-7704
Phone: 9035971351

SUSAN BLALOCK (NPI# 1952773293) 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) 1952773293
Entity Type Individual
Full Name SUSAN BLALOCK
Practice Address 2323 W Front St
Tyler
TX 75702-7704
Practice Telephone 9035971351
Practice Fax Number 9035357386
Mailing Telephone 9035971351
Mailing Fax Number 9035357386
Enumeration Date 2015-10-27
Last Update Date 2015-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
68887 TX Behavioral Health & Social Service Providers

Other Providers SUSAN BLALOCK

NPI Name Taxonomy Address Enumeration
1639645567 Susan Tuttle Blalock Social Worker 691 S 5th St, Columbus, OH 43206-2120 2018-10-18

Office Location

Street Address 2323 W FRONT ST
City TYLER
State TX
Zip Code 75702-7704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619967569 Jan Lorenz Nurse Practitioner 2323 W Front St, Tyler, TX 75702-7704 2005-10-24
1982240776 Pamela Summers Nurse Practitioner 2323 W Front St, Tyler, TX 75702-7747 2019-11-27
1154833713 Cieja Chapman Nurse Practitioner 2323 W Front St, Tyler, TX 75702-7704 2017-11-03
1184159097 Alex Park Pharmacist 2323 W Front St, Tyler, TX 75702-7704 2017-04-28
1548706815 Mollie Eaton Behavioral Analyst 2323 W Front St, Tyler, TX 75702-7704 2017-01-11
1538604715 Andrews Center -pinkerton Social Worker 2323 W Front St, Tyler, TX 75702-7704 2016-12-27
1609310150 Rachel Massey Behavioral Analyst 2323 W Front St, Tyler, TX 75702-7704 2016-12-16
1871948992 Alexandra Smith Physician Assistant 2323 W Front St, Tyler, TX 75702-7704 2016-04-26
1851777148 Andrews Center/drop In Community Based Residential Treatment Facility, Mental Illness 2323 W Front St, Tyler, TX 75702-7704 2015-08-10
1922482751 Andrews Center Community/Behavioral Health 2323 W Front St, Tyler, TX 75702-7704 2015-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1659852507 Krystal Gayle Lilley Licensed Vocational Nurse 100 E Ferguson St Ste 60a, Tyler, TX 75702 2018-08-28
1679029383 Cynthia Lynn Kalawe Physical Therapist 100 E Ferguson, Suite 1204, Tyler, TX 75702 2016-09-01
1649623646 Susan E Oxford Social Worker 13495 Frankston Highway, Tyler, TX 75702 2016-07-14
1053769281 All Kidz Kan Home Health 2902 E Front St, Tyler, TX 75702 2016-05-27
1821415639 Heather Mullins Physical Therapy Assistant 100 E. Ferguson Ste.1204, Tyler, TX 75702 2014-03-19
1346671336 Dennis Keith Johnson Dentist 3081 Hwy. 31 East, Tyler, TX 75702 2013-12-02
1275882201 Bobby Gibson Counselor 401 East Front Street, Ste 233, Tyler, TX 75702 2012-09-06
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1457629529 James Whaley Rapp Specialist/Technologist 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 2011-12-05
Find all providers in zip 75702

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407469075 Jonathan Richard Counselor 1015 Trinity Dr, Tyler, TX 75702-8757 2020-08-24
1043829757 Lenore Strickland Counselor 5207 Hollytree Dr Apt 905, Tyler, TX 75703-3446 2020-07-28
1952933749 Smith County Champions for Children Counselor 4883 Hightech Dr, Tyler, TX 75703-2617 2020-02-10
1568934339 Art of Healing Counseling Center Pllc Counselor 1810 Shiloh Rd Ste 601, Tyler, TX 75703-2457 2018-12-18
1992286041 Christina Michelle Lawrence Counselor 2003 Rickety Ln, Tyler, TX 75703-1706 2018-08-27
1174011779 David Keith Duffey Counselor 657 Prestonwood Cir, Tyler, TX 75703-5045 2018-04-29
1962842237 Jaclyn Nicole Abell Counselor 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 2013-07-01
1710251012 St Joseph Counseling & Rehabilitation Services, Inc Counselor 3334 S Sw Loop 323, Suite 108, Tyler, TX 75701-9237 2012-03-05
1750602488 Valerie Kay Holcomb Counselor 2624 Kensington Dr, Suite 108, Tyler, TX 75703-2728 2010-06-16
1861665689 Robin Bivings Fincher Counselor 108 E 3rd St, Tyler, TX 75701-3107 2008-04-13
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75702

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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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