Blakes, Eddie Lee
Blakes, Eddie Lee is an sole proprietor health care provider with primary practice located at 1900 W Carla Vista Dr Unit 6665 , Chandler AZ 85246-4028. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Blakes, Eddie Lee can be contacted via phone (480) 521-5289.Contact Information
Primary practice address
1900 W Carla Vista Dr Unit 6665
Chandler AZ 85246-4028
Phone: (480) 521-5289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LISAC-155298 | Arizona |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LISAC-155298 | Arizona |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-155298 | Arizona |
Profile Details
| NPI number | 1992311534 |
|---|---|
| LBN Legal business name | Blakes, Eddie Lee |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2020 |
| Last updated | Sep 25th, 2023 - about 3 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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