| Blake Healing For You Pllc | |
|
3530 1st Ave N Suite 217 St Petersburg FL 33713-8435 | |
| (760) 641-4408 | |
| (727) 954-7190 |
| Full Name | Blake Healing For You Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3530 1st Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Blake Williamson (OWNER, LICENSED COUNSELOR) |
| Authorized Official Contact | 7606414408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Healing For You Pllc 3530 1st Ave N Suite 217 St Petersburg FL 33713-8435 Ph: (760) 641-4408 | Blake Healing For You Pllc 3530 1st Ave N Suite 217 St Petersburg FL 33713-8435 Ph: (760) 641-4408 |
| NPI Number | 1871031997 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871031997 | NPI | - | NPPES |
| 15620200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH8077 (Florida) | Primary |
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