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JAMOND BLAKE
NPI 1689241028
Counselor - Mental Health in Conway, SC

Active since June 04, 2021
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jamond Blake NPPES

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

JAMOND BLAKE (NPI 1689241028) is an individual mental health provider in Conway, South Carolina and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1689241028
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAMOND BLAKE
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address164 Waccamaw Medical Park DrConway, SC 29526-8903 · (843) 347-5060
Phone(843) 347-5060
Sole ProprietorNo
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1689241028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
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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.

MS. TAWAN BINNETTA ALSTON
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MONICA LYNN JOHNSON MSW
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
EMMETT MICHAEL LAMPKIN MD
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JANNIE LANCE MORANT
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JOSEPH E DEKINE
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
DR. EDWARD H CONNOR PH.D.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
RICHARD MOORER DANTZLER
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MEGHAN NESMITH
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060

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 Jamond Blake's NPI number?

The NPI number for Jamond Blake is 1689241028. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Jamond Blake located?

Jamond Blake practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Jamond Blake'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 Jamond Blake was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.