Blake, Tiana
Blake, Tiana is an sole proprietor health care provider with primary practice located at 9033 Lake Royale , Louisburg NC 27549-7208. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blake, Tiana can be contacted via phone (252) 477-0008.Contact Information
Primary practice address
9033 Lake Royale
Louisburg NC 27549-7208
Phone: (252) 477-0008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P014861 | North Carolina |
Profile Details
| NPI number | 1275141483 |
|---|---|
| LBN Legal business name | Blake, Tiana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2020 |
| Last updated | Jul 14th, 2020 - about 6 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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