SONNY JAMES BLAKE LMHC - NPI 1194044651 - Counselor in Clearwater, FL

Q: What is Sonny Blake's NPI number?

The NPI number for Sonny Blake is 1194044651. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Q: What is Sonny Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Sonny Blake was last updated on May 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Sonny James Blake Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONNY JAMES BLAKE LMHC (NPI 1194044651) is an individual mental health provider in Clearwater, Florida, licensed in Florida (MH 10074) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1194044651

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSONNY JAMES BLAKECredential: LMHC

Location Address14041 ICOT BLVDClearwater, FL 33760-3702

Mailing Address14041 Icot BlvdClearwater, FL 33760-3702 · (727) 479-1800 · Fax (727) 749-1248

Phone(727) 479-1800

Fax(727) 749-1248

Sole ProprietorNo

Enumeration DateMay 24, 2010

✔ NPI 1194044651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH 10074

14041 ICOT BLVD, Clearwater, FL 33760

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Other Identifiers 1

OtherMH 10074FL · State Of Fl Lmhc License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE JOERRES LCSW

Social Worker (Clinical)