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Dr. Ophelia Marlene Blackwell, PhD, LCPC, LPC, NCC

Counselor, Professional in Athens, GA. Individual provider (NPI-1).

NPI number1811279482
StatusActive
Last updated in NPPESJun 12, 2023

Details

NPI
1811279482
Entity type
Individual (NPI-1)
Name
Dr. Ophelia Marlene Blackwell
Credential
PhD, LCPC, LPC, NCC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2011
Certification date
Jun 12, 2023
Last updated
Jun 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPC011218GAYes
101YP2500X Counselor, ProfessionalLCPC2305KS

Other names

  • Ophelia Marlene Baker (Former Name)

Practice location

625 Nellie B Ave Ofc 1
Athens, GA 30601-3339

Phone 888-447-8231

Mailing address

625 Nellie B Ave Ofc 1
Athens, GA 30601-3339

Phone 704-315-0897

Other practice locations

745 S Milledge Ave Ste 1a
Athens, GA 30605-1292

Phone 770-389-8100

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