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Contact Information

ROY A BLANKENSHIP, LPC,LMFT,CCADC, CSAT
1301 SHILOH RD NW STE 530
KENNESAW, GA30144-7153
 Phone: 678-516-6902
 Fax: 678-391-5969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for ROY A BLANKENSHIP · (Male)

NPI Number 1609078500
Status Active
Credentials LPC,LMFT,CCADC, CSAT
Entity Individual
Enumeration date 06/03/2007
Last updated 06/04/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • License # C0082
  • GA License # LMFT001409
  • GA License # LPC007769
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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