Provider Demographics
NPI:1821277690
Name:BLOW-KEMP, D. AMELIA (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:D.
Middle Name:AMELIA
Last Name:BLOW-KEMP
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13964
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-3964
Mailing Address - Country:US
Mailing Address - Phone:850-443-1334
Mailing Address - Fax:850-894-0903
Practice Address - Street 1:3841 KILLEARN CT
Practice Address - Street 2:SUITE A
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-3466
Practice Address - Country:US
Practice Address - Phone:850-443-1334
Practice Address - Fax:850-270-2598
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5565101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)