Blake, Anthonette

Blake, Anthonette is an sole proprietor health care provider with primary practice located at 2801 C Ct , Ashtabula OH 44004-4577. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blake, Anthonette can be contacted via phone (440) 998-4210.

Contact Information

Primary practice address
2801 C Ct Ashtabula OH 44004-4577
Phone: (440) 998-4210
Fax: (440) 228-2414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2305042 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Ohio

Profile Details

NPI number 1891200432
LBN Legal business name Blake, Anthonette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2017
Last updated Jan 3rd, 2024 - about last year

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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