KING BLAKE L.C.P.C.
NPI 1730461369
Counselor - Pastoral in Baltimore, MD

Active since September 09, 2011
1317 E NORTH AVE, BALTIMORE, MD 21213(410) 240-0785 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About King Blake L.c.p.c. NPPES

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

KING BLAKE L.C.P.C. (NPI 1730461369) is an individual pastoral provider in Baltimore, Maryland, licensed in Maryland (LC4136) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1730461369
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameKING BLAKECredential: L.C.P.C.
Location Address1317 E NORTH AVEBaltimore, MD 21213-1405
Mailing Address1317 E North AveBaltimore, MD 21213-1405 · (410) 240-0785
Sole ProprietorYes
Enumeration DateSeptember 9, 2011
Last NPPES UpdateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
NPI 1730461369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License Licensed in MD · LC4136
1317 E NORTH AVE, Baltimore, MD 21213

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
1317 E NORTH AVE
BALTIMORE, MD 21213

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 King Blake's NPI number?

The NPI number for King Blake is 1730461369. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is King Blake located?

King Blake practices at 1317 E North Ave, Baltimore, MD 21213. The listed phone number is (410) 240-0785.

What is King Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for King Blake was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.