Provider Demographics
NPI:1013070747
Name:BLAKEY, TENA AUSTIN (MSW)
Entity type:Individual
Prefix:MRS
First Name:TENA
Middle Name:AUSTIN
Last Name:BLAKEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3258 NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:TIGNALL
Mailing Address - State:GA
Mailing Address - Zip Code:30668-2328
Mailing Address - Country:US
Mailing Address - Phone:706-285-2853
Mailing Address - Fax:706-285-2853
Practice Address - Street 1:3258 NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:TIGNALL
Practice Address - State:GA
Practice Address - Zip Code:30668-2328
Practice Address - Country:US
Practice Address - Phone:706-285-2853
Practice Address - Fax:706-285-2853
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator