Blake, Marcia T

Blake, Marcia T is an individual health care provider with primary practice located at 7320 Parkridge Blvd Apt 67 , Irving TX 75063-8349. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Blake, Marcia T can be contacted via phone (616) 558-9343.

Contact Information

Primary practice address
7320 Parkridge Blvd Apt 67 Irving TX 75063-8349
Phone: (616) 558-9343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401011350 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 91316 Texas

Profile Details

NPI number 1225361231
LBN Legal business name Blake, Marcia T
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2009
Last updated May 31st, 2024 - about 2 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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