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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