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

Bathsheva Blackston, MFT-INTERN

Individual provider Marriage & Family Therapist · NPI 1992521678

Bathsheva Blackston, MFT-INTERN is a Marriage & Family Therapist in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

2419 Hollywood Blvd
Hollywood, FL 33020-6605
Phone: (954) 361-4535
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMT4162 (FL)

Record details

NPI number1992521678
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT-INTERN
Sole proprietorYes
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 26, 2024
Mailing address5051 N 37th St, Hollywood, FL 33021-2242

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