Blackwell, Justin Lee

Blackwell, Justin Lee is an individual health care provider with primary practice located at 1415 Homestead Rd N , Lehigh Acres FL 33936-4830. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Blackwell, Justin Lee can be contacted via phone (239) 491-8092.

Contact Information

Primary practice address
1415 Homestead Rd N Lehigh Acres FL 33936-4830
Phone: (239) 491-8092
Fax: (239) 491-9213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICADC.0000031 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC2946 Maryland
Other Service Providers / Peer Specialist 175T00000X PR0153 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP.0100424 Florida

Profile Details

NPI number 1871011486
LBN Legal business name Blackwell, Justin Lee
Credentials CAP, ICADC, CAC-AD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2017
Last updated May 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers