Blake, Meghan

Blake, Meghan is an individual health care provider with primary practice located at 4516 Boat Club Rd Ste 106 , Fort Worth TX 76135-7020. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Blake, Meghan can be contacted via phone (817) 238-0106.

Contact Information

Primary practice address
4516 Boat Club Rd Ste 106 Fort Worth TX 76135-7020
Phone: (817) 238-0106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 89900 Texas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1265086912
LBN Legal business name Blake, Meghan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2019
Last updated Mar 12th, 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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