Blake, Nathaniel Allen
Blake, Nathaniel Allen is an individual health care provider with primary practice located at 1230 Saint Marks Church Rd , Burlington NC 27215-9797. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Blake, Nathaniel Allen can be contacted via phone (336) 227-5476.Contact Information
Primary practice address
1230 Saint Marks Church Rd
Burlington NC 27215-9797
Phone: (336) 227-5476
Fax: (336) 437-1898
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 22716 | North Carolina |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 116 | North Carolina |
Profile Details
NPI number | 1659889640 |
---|---|
LBN Legal business name | Blake, Nathaniel Allen |
Credentials | CFBPPC, LCAS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 12th, 2018 |
Last updated | Feb 5th, 2020 - about 4 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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