Look up the most recent NPI and PECOS records

Blackburn Counseling & Consultation

Social Worker

Behavioral Health & Social Service Providers

1616 Westgate Cir, Brentwood, TN 37027-8019

PECOS Enrollment

Based on the most recent information from CMS, provider Blackburn Counseling & Consultation does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:54 AM.

Profile Details

Provider ID
1598061913
Provider Type
Organization
Full Name
Blackburn Counseling & Consultation

Subpart
No
Enumeration Date
2/2/2011
Last Updated
2/2/2011

Contact Information

Practice Location

1616 Westgate Cir, Brentwood, TN 37027-8019

(615) 844-6114

(615) 844-6115

Mailing Location

875 Arlington Heights Dr, Brentwood, TN 37027-8159

(615) 776-5393

(615) 844-6115

Authorized Official

Blackburn, Arthur (Owner)

(615) 776-5393

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 903 Tennessee

Blackburn Counseling & Consultation

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Jones, Andrea

Hook, Dawn Leigh

Dingler, Cindi

Nkengaka, Akamin Victor

Hothorn, Patricia M

Jordan, Christine B

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Johnson, Cindy Louise

Miles, Laurie Ann

Rebekah Land