Blankenship, Shaketha

Blankenship, Shaketha is an sole proprietor health care provider with primary practice located at 2026 Barrington Ln , Villa Rica GA 30180-6954. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Blankenship, Shaketha can be contacted via phone (404) 409-7361.

Contact Information

Primary practice address
2026 Barrington Ln Villa Rica GA 30180-6954
Phone: (404) 409-7361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 391660 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008522 Georgia

Profile Details

NPI number 1689242745
LBN Legal business name Blankenship, Shaketha
Credentials PHD, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2021
Last updated Jun 15th, 2021 - about 4 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