Blake-Edwards, Michael

Blake-Edwards, Michael is an individual health care provider with primary practice located at 1925 S Perimeter Rd Suite 120, Ft Lauderdale FL 33309-7122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Blake-Edwards, Michael can be contacted via phone (954) 958-0988.

Contact Information

Primary practice address
1925 S Perimeter Rd Suite 120 Ft Lauderdale FL 33309-7122
Phone: (954) 958-0988
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1982958385
LBN Legal business name Blake-Edwards, Michael
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2012
Last updated Nov 7th, 2012 - about 13 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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