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

Mr. Justin Lee Blackwell, CAP, ICADC, CAC-AD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871011486

Mr. Justin Lee Blackwell, CAP, ICADC, CAC-AD is an Addiction (Substance Use Disorder) Counselor in Lehigh Acres, Florida. Works from 2 locations. Licensed in Florida and Maryland.

Licensed in
FL, MD
In the registry since
2017
Specialties on file
4

Practice location Address checks out

1415 Homestead Rd N
Lehigh Acres, FL 33936-4830
Phone: (239) 491-8092
Fax: (239) 491-9213
Show map & directions

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

Additional practice locations (1)

  • 600 Sw 18th Ter, Cape Coral, FL 33991-3434 — (410) 694-1898

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CAP.0100424 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ICADC.0000031 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence AC2946 (MD)
Peer Specialist Taxonomy 175T00000X · Licence PR0153 (MD)

Record details

NPI number1871011486
Entity typeIndividual (Type 1)
GenderMale
Credentials CAP , ICADC , CAC-AD
Sole proprietorNo
NPI enumeratedSeptember 4, 2017
Last updated in NPPESMay 20, 2023
Certification dateMay 20, 2023

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