Charletha Renee Blake, is a
Behavior Technician based in Akron, Ohio. Charletha Renee Blake is licensed to practice in * (Not Available) (license number ) and her current practice location is
333 S Main St Ste 607, Akron, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 400-4204.
NPI number for Charletha Renee Blake is 1821652827 and her current mailing address is 2328 Mill Ln, High Point, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821652827.
Healthcare Provider's Profile
Full Name | Charletha Renee Blake |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 333 S Main St Ste 607, Akron, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821652827
- Provider Enumeration Date: 04/24/2019
- Last Update Date: 01/16/2024
Medical Identifiers
Medical identifiers for Charletha Renee Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821652827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | P020061 (North Carolina) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charletha Renee Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charletha Renee Blake, 2328 Mill Ln, High Point, NC 27265-9184 Ph: () - | Charletha Renee Blake, 333 S Main St Ste 607, Akron, OH 44308-1228 Ph: (330) 400-4204 |
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