Blake Healing For You PLLC
Community/Behavioral Health in St Petersburg, FL. Organization (NPI-2).
NPI number1871031997
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1871031997
- Entity type
- Organization (NPI-2)
- Legal business name
- Blake Healing For You PLLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2017
- Last updated
- Feb 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | MH8077 | FL | Yes |
Practice location
3530 1st Ave NSuite 217
St Petersburg, FL 33713-8435
Phone 760-641-4408 · Fax 727-954-7190
Mailing address
3530 1st Ave NSuite 217
St Petersburg, FL 33713-8435
Phone 760-641-4408 · Fax 727-954-7190
Authorized official
Blake Williamson
Owner, Licensed Counselor
7606414408
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