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 |