Amanda R Blalock is a Tyler, Texas based nurse practitioner with 6 years of experience in Psych/Mental Health. She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Amanda R Blalock is AP144205 for Psych/Mental Health in Texas. Her current practice location is 1800 Shiloh Rd Ste 104, Tyler. Patients can reach her at 903-969-5125 or can fax her at 207-536-2445. Amanda R Blalock is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1740681279. Amanda R Blalock provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Amanda R Blalock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4789011164
Enrollment ID:
I20200225000294
NPI Number:
1740681279
NPI Enumeration Date:
16 Sep, 2014
NPI Last Update On:
03 Oct, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda R Blalock are as mentioned below.
License Number
Specialization
State
Status
AP144205
Psych/Mental Health
Texas
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Amanda R Blalock is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Andrews Center (9739170770)
12
Other Medical Identifiers:
Other legacy medical identifiers associated with Amanda R Blalock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
407984001
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Amanda R Blalock 1800 Shiloh Rd Ste 104, Tyler, Texas
Zip:
75703-2456
Phone Number:
903-969-5125
Fax Number:
207-536-2445
Patients can reach Amanda R Blalock at 1800 Shiloh Rd Ste 104, Tyler, Texas or can call to book an appointment on 903-969-5125.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.