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Blaq Therapy

Professional Counselor in Mattawan, MI · enumerated 2024 · authorized official Anter Abdallah, Credentialer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609646256

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Registry record

Entity type Organization (Type 2)
Legal business name Blaq Therapy
Practice address 24073 Crescent St, Mattawan, MI, 49071
Enumeration date Jan 4, 2024
Last updated in NPPES Jan 4, 2024

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
163WP0808X Psychiatric/Mental Health Registered Nurse Nursing Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
221700000X Art Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225A00000X Music Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
364SP0808X Psychiatric/Mental Health Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Anter Abdallah
Title Credentialer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Blaq Therapy?
Blaq Therapy is registered in NPPES as a Professional Counselor (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-04.