Wellformed AI

NPI 1992649636 · live from the CMS NPI Registry

Christina Marie Blakely, LMFT

Marriage & Family Therapist in Lavonia, GA. National Provider Identifier 1992649636, active.

NPI record

NPI1992649636 Type 1 · individual
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location451 Rocky Ford Rd, Lavonia, GA 30553
Practice phone706-391-0445
EnumeratedApril 15, 2026
Last updatedApril 15, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist primary106H00000XMFT002235 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.