Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaq Therapy

Organization Mental Health Counselor · NPI 1609646256

Blaq Therapy is a Mental Health Counselor in Mattawan, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
10

Practice location Address checks out

24073 Crescent St
Mattawan, MI 49071-8457
Phone: (734) 802-7667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X
Counseling Psychologist Taxonomy 103TC1900X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X
Psychiatry Physician Taxonomy 2084P0800X
Art Therapist Taxonomy 221700000X
Music Therapist Taxonomy 225A00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X

Record details

NPI number1609646256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anter Abdallah — Credentialer · (734) 802-7667
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing addressPo Box 714, Mattawan, MI 49071-0714

Other providers in Mattawan