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

Dr. Eddie Lee Blakes Jr., DBH, LIAC

Individual provider Counselor · NPI 1992311534

Dr. Eddie Lee Blakes Jr., DBH, LIAC is a Mental Health Counselor in Mesa, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412
Phone: (480) 521-5289
Fax: (480) 386-9910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LIAC-155298 (AZ)
Counselor Taxonomy 101Y00000X · Licence LIAC-155298 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LIAC-155298 (AZ)

Record details

NPI number1992311534
Entity typeIndividual (Type 1)
GenderMale
Credentials DBH , LIAC
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa