Blake, Kathleen

Blake, Kathleen is an sole proprietor health care provider with primary practice located at 13322 I St , Omaha NE 68137-1111. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blake, Kathleen can be contacted via phone (402) 230-5861.

Contact Information

Primary practice address
13322 I St Omaha NE 68137-1111
Phone: (402) 230-5861
Fax: (531) 200-5808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3113 Nebraska

Profile Details

NPI number 1407401185
LBN Legal business name Blake, Kathleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2019
Last updated Sep 29th, 2022 - about 4 years ago

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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