Organization
BLAKE HEALING FOR YOU PLLC
Active
Organization
BLAKE HEALING FOR YOU PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE WILLIAMSON LMHC (OWNER, LICENSED COUNSELOR)
(760) 641-4408
Entity
Organization
Contact information
Practice address
3530 1ST AVE N, SUITE 217, ST PETERSBURG, FL 33713-8435
(760) 641-4408
(727) 954-7190
Mailing address
3530 1ST AVE N, SUITE 217, ST PETERSBURG, FL 33713-8435
(760) 641-4408
(727) 954-7190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15620200
—
FL
Enumeration date
02/09/2017
Last updated
02/09/2017
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