Blevins, William Lafayette

Blevins, William Lafayette is an sole proprietor health care provider with primary practice located at 1646 Russell Ave Baker 200, Jefferson City TN 37760-2204. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Blevins, William Lafayette can be contacted via phone (865) 471-3274.

Contact Information

Primary practice address
1646 Russell Ave Baker 200 Jefferson City TN 37760-2204
Phone: (865) 471-3274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0000000174 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0000000049 Tennessee

Profile Details

NPI number 1265644439
LBN Legal business name Blevins, William Lafayette
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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.

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