Carl C Blake is a Mental Health in Larkspur, Colorado. Carl C Blake practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carl C Blake is 1811018138. The last update date is 2007-07-09.
Carl C Blake's current location address is 12163 South Perry Park Road, Larkspur, Colorado. You can contact this provider via phone number 3036812400 and fax number 3036812401. The mailing address for Carl C Blake is 12163 South Perry Park Road, Larkspur, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl C Blake |
|---|---|
| Address | 12163 South Perry Park Road, Larkspur, Colorado |
| Phone Number | 3036812400 |
| Fax Number | 3036812401 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1811018138 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 12163 South Perry Park Road |
|---|---|
| City | Larkspur |
| State | Colorado (CO) |
| Post Code | 80118 |
| Phone Number | 3036812400 |
| Fax Number | 3036812401 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LPC 4701 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78732069 | CO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Carl C Blake by the Centers for Medicare & Medicaid Services?
The Carl C Blake has been issued the NPI (National Provider Identifier) 1811018138. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carl C Blake's physical address?
The Carl C Blake is physically located at 12163 South Perry Park Road, in the city of Larkspur, CO, with the postal code 80118.
What is Carl C Blake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carl C Blake's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811018138 to Carl C Blake?
The Centers for Medicare & Medicaid Services assigned the 1811018138 to Carl C Blake on 2007-04-03.
When was the information regarding Carl C Blake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carl C Blake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.