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

Earlean Blackwell

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1023677713

Earlean Blackwell is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019

Practice location Address checks out

1865 Waldrep Cir SE
Marietta, GA 30060-4927
Phone: (678) 491-0078
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X (GA)

Record details

NPI number1023677713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2019
Last updated in NPPESJune 6, 2019