Holly Blackburn, LPCA
Individual provider Active NPI Mental Health Counselor · Owensboro, KY
NPI 1609424647 · NPPES record last updated Sep 3, 2019
Key facts
- NPI
- 1609424647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 251486 (KY)
- Practice address
- 1100 Walnut St
Owensboro, KY 42301-2956 - Phone
- (270) 689-6558
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251486 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 251486 | KY | Yes |
Addresses
Primary practice location
1100 Walnut St
Owensboro, KY 42301-2956
Mailing address
1100 Walnut St
Owensboro, KY 42301-2956
Other providers in Owensboro, KY
- Cecilia Biglieri
- Jana Billingsley
- McKenzie Shae Birchler
- Jamie Bisel
- William S Black
- Jack C Blackstone, Jr.
- Paighten Blades
- Sal Blake
- H. Dwaine Blakeman
- Courtney Lynn Blandford
All providers in Owensboro, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.