Blake, Anne H

Blake, Anne H is an sole proprietor health care provider with primary practice located at 12 Walnut St Apt 9 , Natick MA 01760-3564. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blake, Anne H can be contacted via phone (617) 543-3652.

Contact Information

Primary practice address
12 Walnut St Apt 9 Natick MA 01760-3564
Phone: (617) 543-3652
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1397 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 05-147 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5096 Massachusetts

Profile Details

NPI number 1235237009
LBN Legal business name Blake, Anne H
Credentials LMHC, LADC, ATR-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Feb 19th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235237009 NPPES
Massachusetts Other LM1250 BLUE CROSS/BLUE SHIELD ID

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