SHAWNTAE MONIQUE BLAKE NPI 1780450114

NPI Information

NPI: 1780450114
Provider Name: SHAWNTAE MONIQUE BLAKE
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
100 E MAIN ST STE 502
SALISBURY, MD
ZIP 21801
Phone: (667) 281-0094
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Shawntae Monique Blake is a professional counselor in Salisbury, MD. Shawntae Monique Blake NPI is 1780450114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 E MAIN ST STE 502
SALISBURY, MD
ZIP 21801-079
Phone: (667) 281-0094

The enumeration date for this NPI number is 11/28/2023 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LGP14526	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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