Harkey, Blaze

Harkey, Blaze is an sole proprietor health care provider with primary practice located at 619 S Marion Ave Va Medical Center, Lake City FL 32025-5808. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harkey, Blaze can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Va Medical Center Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-6387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 3268 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 000884 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X HSP-P 0773 North Carolina

Profile Details

NPI number 1285658385
LBN Legal business name Harkey, Blaze
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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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