P Praxis·MD
● Active Type 1 · Individual

Earlean Blackwell

Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Marietta, GA· NPI 1023677713 · Enumerated 2019 · 6 years on NPI
Blackwell is 1 of 1 residential treatment facility, intellectual and/or developmental disabilities providers in Marietta and 1 of 168 in Georgia.
NPI age
6 years
Enumerated 2019-06-06
Primary specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-06-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 168 active residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.

NPI age
6 years
↓ 8 yr below median (14 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
1865 Waldrep Cir Se
Marietta, GA 300604927
📞 6784910078
Mailing address
1865 Waldrep Cir Se
Marietta, GA 300604927
📞 6782392239

Specialties

  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
    taxonomy 320600000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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