Mary Elizabeth Blake
Individual provider Active NPI Mental Health Counselor · Columbus, MS
NPI 1225635451 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1225635451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1001 Main St
Columbus, MS 39701-4751 - Phone
- (662) 328-9225
- NPI assigned
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Seven Mental Health Intellectual Disabilities Comm | Past |
Accepting new patients | |
| Region Seven Mental Health Idd Commission | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1001 Main St
Columbus, MS 39701-4751
Mailing address
302 N Jackson St
Starkville, MS 39759-2504
Phone (662) 323-9318
Other providers in Columbus, MS
- Bethany R Hairston MD
- Birva Bhatt
- Cequeila Vontae Bigbee
- Christy C Black
- Gloria Blackmon
- Shanta Blakney
- Blue Marble Mobility, LLC
- Keirra Sheree Blunt
- Kelli Blunt
- Boa Vida Hospital of Aberdeen, Ms LLC
All providers in Columbus, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.