MRS. SHERRY ANN BLAKE BA - NPI 1720179054

Q: What is Sherry Blake's NPI number?

The NPI number for Sherry Blake is 1720179054. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Sherry 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 Sherry Blake was last updated on April 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Sherry Ann Blake Ba NPPES

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

MRS. SHERRY ANN BLAKE BA (NPI 1720179054) is an individual mental health provider in Gautier, Mississippi and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1720179054

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. SHERRY ANN BLAKECredential: BA

Location Address3407 SHAMROCK CTGautier, MS 39553-5337

Mailing Address3407 Shamrock CtGautier, MS 39553-5337 · (228) 497-0690

Phone(228) 497-0690

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateApril 6, 2016

✔ NPI 1720179054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3407 SHAMROCK CT, Gautier, MS 39553

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Other Identifiers 1

Medicaid00018214MS

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. PEGGY LYNN FENDLEY M.ED.

Counselor (Mental Health)