| NPI | 1699319152 | 
|---|---|
| Doing Business As | BLACKWELL COUNSELING | 
| Former Legal Business Name | THOMAS BLACKWELL, LCSW, LLC | 
| Entity Type | Organization | 
| Authorized Contact | THOMAS BLACKWELL Owner 203-814-2176  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2019-10-28 | 
| Last Update Date | 2020-07-22 |