Blake Healing for You PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH8077 Issued in FL

Legal business name

BLAKE HEALING FOR YOU PLLC

Practice address

3530 1St Ave N
Suite 217
St Petersburg, FL 33713-8435

Phone

(760) 641-4408

Fax

(727) 954-7190

NPI assigned

Feb 9, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Blake Williamson, LMHCNPI 1093032641

Title

Owner, Licensed Counselor

Phone

(760) 641-4408

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake D Williamson, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1093032641
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1871031997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 1ST AVE N",
            "address_2": "SUITE 217",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138435",
            "telephone_number": "760-641-4408",
            "fax_number": "727-954-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 1ST AVE N",
            "address_2": "SUITE 217",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138435",
            "telephone_number": "760-641-4408",
            "fax_number": "727-954-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE HEALING FOR YOU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER, LICENSED COUNSELOR",
        "authorized_official_telephone_number": "760-641-4408",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH8077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15620200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Maurice Blackshear Jr., M.D.
• Gina Bladuell, MD
• Risa Joy Blaine, LMT
• Jennifer Lynn Blair, RDN
• Taylor Blair
• Shantaneast Rosalee Blake
• Walter B Blake
• Richard F. Blanchard, MD
• George Eric Blanco, MD
• James G Blanco, PA-C

• Community/Behavioral Health Agency in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.