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AMANDA MAE BLAKE
NPI 1306509211
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since October 18, 2021
1 ELIZABETH PL STE NWB40, DAYTON, OH 45417(937) 401-8672 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Mae Blake NPPES

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

AMANDA MAE BLAKE (NPI 1306509211) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (186070) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1306509211
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA MAE BLAKE
Location Address1 ELIZABETH PL STE NWB40Dayton, OH 45417-3445
Mailing Address1628 Springfield StDayton, OH 45403-1430 · (937) 802-5440
Phone(937) 401-8672
Sole ProprietorYes
Enumeration DateOctober 18, 2021
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1306509211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 186070
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1 ELIZABETH PL STE NWB40, Dayton, OH 45417
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Other Identifiers 1

Medicaid0466273OH

Other Providers at the Same Location NPPES 7

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

MR. TONY ROWLETT
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417
Montgomery County (937) 401-8672
MISBAH SHAHID
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417
Montgomery County (937) 401-8672
ALISSA ROARK
Behavior Technician
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417
Montgomery County (937) 401-8672
HAYLEE RAE GUNTER
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417
Montgomery County (937) 401-8672
KHADIJAH H ALI CDCA
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417
Montgomery County (937) 401-8672
MIAMI VALLEY RECOVERY, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417
Montgomery County (937) 401-8672
JEFFREY SHOUP
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417
Montgomery County (937) 401-8672

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 Amanda Blake's NPI number?

The NPI number for Amanda Blake is 1306509211. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Amanda Blake located?

Amanda Blake practices at 1 Elizabeth Pl Ste Nwb40, Dayton, OH 45417. The listed phone number is (937) 401-8672.

What is Amanda Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Amanda Blake was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.