Blake, Amira
Blake, Amira is an sole proprietor health care provider with primary practice located at 815 Hyde St , San Francisco CA 94109-5996. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Blake, Amira can be contacted via phone (415) 530-2571.Contact Information
Primary practice address
815 Hyde St
San Francisco CA 94109-5996
Phone: (415) 530-2571
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1225766009 |
---|---|
LBN Legal business name | Blake, Amira |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2022 |
Last updated | Sep 6th, 2023 - 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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