Blake, Charletha Renee

Blake, Charletha Renee is an sole proprietor health care provider with primary practice located at 333 S Main St Ste 607 , Akron OH 44308-1228. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Blake, Charletha Renee can be contacted via phone (330) 400-4204.

Contact Information

Primary practice address
333 S Main St Ste 607 Akron OH 44308-1228
Phone: (330) 400-4204
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P020061 North Carolina
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1821652827
LBN Legal business name Blake, Charletha Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2019
Last updated Jan 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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