Lakeyah Blaylock
Psychologist - Intellectual & Developmental Disabilities • Conroe, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lakeyah Blaylock has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Lakeyah Blaylock was a registered Psychologist - Intellectual & Developmental Disabilities practicing in Conroe, TX. Throughout an active medical career spanning 1 years, Lakeyah Blaylock provided care at the practice location at 230 HOLLYWOOD DR until profile deactivation on 2024-11-19.
Practice Location & Contact Primary Location
230 Hollywood Dr
Conroe, TX 773031547
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Intellectual & Developmental Disabilities in Conroe, TX
Practicing in Conroe, TX (48 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TM1800X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 19, 2024
Record deactivated on November 18, 2024
NPI status registered as active in NPPES database
Registered at 230 HOLLYWOOD DR, CONROE, TX 773031547 (Tel: 9363636730)
Registered at 230 HOLLYWOOD DR, CONROE, TX 773031547 (Tel: 9363636730)
Recorded as LAKEYAH BLAYLOCK
Psychologist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
230 Hollywood Dr
Conroe, TX 773031547
Phone: 9363636730
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