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John Blake Keith Purcell, LMFT Associate

Marriage & Family Therapist in Lubbock, TX. Individual provider (NPI-1).

NPI number1124516240
StatusActive
Last updated in NPPESOct 31, 2024

Details

NPI
1124516240
Entity type
Individual (NPI-1)
Name
John Blake Keith Purcell
Credential
LMFT Associate
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 24, 2018
Certification date
Oct 31, 2024
Last updated
Oct 31, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist203070TXYes

Practice location

1003 Flint Ave
Lubbock, TX 79409-9803

Phone 806-742-3674 · Fax 806-742-0260

Mailing address

1003 Flint Ave
Lubbock, TX 79409-9803

Phone 806-742-3674 · Fax 806-742-0260

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Other Marriage & Family Therapist providers in Lubbock, TX

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