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Contact Information

VALERIE M BLY
6050 STERLING CREEK RD
PORTAGE, IN46368-7752
 Phone: 219-763-8112
 Fax: 219-764-5333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for VALERIE M BLY · (Female)

NPI Number 1689244949
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2021
Last updated 05/19/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 87900026A
  • NC License # A21297
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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