Blankenship, Gabrielle Kelly

Blankenship, Gabrielle Kelly is an individual health care provider with primary practice located at 325 Mdg, 340 Magnolia Circle , Tyndall Afb FL 32403. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blankenship, Gabrielle Kelly can be contacted via phone (850) 283-7051.

Contact Information

Primary practice address
325 Mdg, 340 Magnolia Circle Tyndall Afb FL 32403
Phone: (850) 283-7051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW0004572 Florida

Profile Details

NPI number 1548251465
LBN Legal business name Blankenship, Gabrielle Kelly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jun 21st, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548251465 NPPES
Florida MEDICAID 758997200

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