Blake, Meghan
Blake, Meghan is an individual health care provider with primary practice located at 4516 Boat Club Rd Ste 106 , Fort Worth TX 76135-7020. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Blake, Meghan can be contacted via phone (817) 238-0106.Contact Information
Primary practice address
4516 Boat Club Rd Ste 106
Fort Worth TX 76135-7020
Phone: (817) 238-0106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 89900 | Texas |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1265086912 |
|---|---|
| LBN Legal business name | Blake, Meghan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2019 |
| Last updated | Mar 12th, 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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