Roy Blankenship's National Provider Identifier (NPI) Details
Roy Blankenship, LPC,LMFT,CCADC, CSAT
NPI: 1609078500
Enumeration Date: 2007-06-03
Last updated: 2019-02-20
Sole Proprietor: YES
Status: active
Postal Address: 1301 SHILOH ROAD, SUITE 840, KENNESAW, GA
Phone: 678-516-6902
Primary Practice Address: 1426 OLDE FORGE LN, WOODSTOCK, GA
Practice's phone: 678-516-6902