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Lisa Blake Therapy
Mental Health Clinic/Center (Including Community Mental Health Center) in Riverdale, Utah
NPI 1063124451

Lisa Blake Therapy is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Ogden, UT and is specialized in Mental Health (Including Community Mental Health Center). Lisa Blake Therapy practices in Riverdale, UT. The NPI Number for Lisa Blake Therapy is 1063124451 and holds a License No. (Utah).

The current practice location address for Lisa Blake Therapy is 4933 S 1500 W Ste 200, Riverdale, UT and can be reached out via phone at 801-695-5057.

Location: 4933 S 1500 W Ste 200, Riverdale, UT, 84401-2902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063124451
Provider Name
Lisa Blake Therapy
Credential
Provider Entity Type
Organization
Address
4933 S 1500 W Ste 200, Riverdale, UT, 84401-2902
Phone Number
801-695-5057
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4933 S 1500 W Ste 200
City
Riverdale
State
Utah
Zip
84405-7738
Phone Number
801-695-5057
Fax Number
person
Provider Business Mailing Address Details
Address
4933 S 1500 W Ste 200
City
Riverdale
State
Utah
Zip
84405-7738
Phone Number
801-695-5057
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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