| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BLAKELY MURRAH | 1639774144 | 2023-03-12 |
Blakely Murrah is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639774144. Registration indicates Blakely Murrah is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Blakely Murrah |
| Practice Office Address | 4931 RIVERSIDE DR STE 400A MACON, GA US |
| Practice Office Telephone | 4782197626 |
| Practice Office Fax | 3175208200 |
| Mailing Address | 3500 DEPAUW BLVD STE 3070 INDIANAPOLIS, IN 462686135 US |
| Business Telephone | 8553240885 |
| Business Fax | 3175208200 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-20-130471
GA |
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-23-64289
GA |