IndividualActive
Anthony Blalock, B.S. QMHP
NPI 1184132151 · Counselor · Petersburg, VA
Provider details
- NPI number
- 1184132151
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- B.S. QMHP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
210 Lily Way Apt 3b
Petersburg, VA 23805-9161
Phone: (757) 770-8214
Approximate (ZIP-level) locationGet directions
Mailing address
210 Lily Way Apt 3b
Petersburg, VA 23805-9161
Registry dates
- Enumerated
- 2018-01-12
- Last updated
- 2018-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.