Andra Coniece Blake in Hawthorne - Mental Health
Andra Coniece Blake - NPI 1295803328
Andra Coniece Blake is a Mental Health in Hawthorne, California. Andra Coniece Blake practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Andra Coniece Blake is 1295803328. The last update date is 2007-07-08.
Andra Coniece Blake's current location address is 11702 Menlo Ave, Hawthorne, California. You can contact this provider via phone number 3239814322. The mailing address for Andra Coniece Blake is 11702 Menlo Ave, Hawthorne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andra Coniece Blake |
|---|---|
| Address | 11702 Menlo Ave, Hawthorne, California |
| Phone Number | 3239814322 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFTI |
NPI Number Detail
| NPI Number | 1295803328 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11702 Menlo Ave |
|---|---|
| City | Hawthorne |
| State | California (CA) |
| Post Code | 902502585 |
| Phone Number | 3239814322 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Andra Coniece Blake?
The Andra Coniece Blake has been issued the NPI (National Provider Identifier) 1295803328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Andra Coniece Blake located?
The Andra Coniece Blake is located at 11702 Menlo Ave, Hawthorne, CA 902502585.
What is the Andra Coniece Blake's specialty and taxonomy code?
The Andra Coniece Blake's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295803328 to Andra Coniece Blake?
The Centers for Medicare & Medicaid Services originally issued the 1295803328 to Andra Coniece Blake on 2006-11-30.
As of what date were the details related to Andra Coniece Blake most recently updated or revised?
The information pertaining to Andra Coniece Blake, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.