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MR. BLAKE LUNDRY
NPI 1295157774
Counselor - Mental Health in Tahlequah, OK

Active since January 17, 2014
3475 SOUTHRIDGE PL, UNIT 7, TAHLEQUAH, OK 74464(918) 931-1041 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Blake Lundry NPPES

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

MR. BLAKE LUNDRY (NPI 1295157774) is an individual mental health provider in Tahlequah, Oklahoma and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1295157774
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BLAKE LUNDRY
Location Address3475 SOUTHRIDGE PL, UNIT 7Tahlequah, OK 74464-7912
Mailing Address3475 Southridge Place, #7Tahlequah, OK 74464
Phone(918) 931-1041
Sole ProprietorNo
Enumeration DateJanuary 17, 2014
✔ NPI 1295157774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3475 SOUTHRIDGE PL, Tahlequah, OK 74464
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Lundry's NPI number?

The NPI number for Blake Lundry is 1295157774. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Where is Blake Lundry located?

Blake Lundry practices at 3475 Southridge Pl Unit 7, Tahlequah, OK 74464. The listed phone number is (918) 931-1041.

What is Blake Lundry's specialty?

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

When was this NPI record last updated?

The NPPES record for Blake Lundry was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.