Blevins, Edward

Blevins, Edward is an sole proprietor health care provider with primary practice located at 25 Main St Rear Suite , Sparta NJ 07871-1937. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Blevins, Edward can be contacted via phone (908) 246-0553.

Contact Information

Primary practice address
25 Main St Rear Suite Sparta NJ 07871-1937
Phone: (908) 246-0553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00254100 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00516900 New Jersey

Profile Details

NPI number 1811352677
LBN Legal business name Blevins, Edward
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2015
Last updated Dec 18th, 2021 - about 4 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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