person
Sonny James Blake, LMHC
Mental Health Counselor in Clearwater, Florida
NPI 1194044651

Sonny James Blake is a Mental Health Counselor based in Clearwater, FL and is specialized in Mental Health. Sonny James Blake practices in Clearwater, FL and has the professional credentials of LMHC. The NPI Number for Sonny James Blake is 1194044651 and holds a License No. MH 10074 (Florida).

The current practice location address for Sonny James Blake is 14041 Icot Blvd, Clearwater, FL and can be reached out via phone at 727-479-1800 and via fax at 727-749-1248.

Location: 14041 Icot Blvd, Clearwater, FL, 33760-3702
person
Provider Profile Details
NPI Number
1194044651
Provider Name
Sonny James Blake
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
14041 Icot Blvd, Clearwater, FL, 33760-3702
Phone Number
727-479-1800
Fax Number
727-749-1248
Provider Enumeration Date
05/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH 10074 01 FL STATE OF FL LMHC LICENSE
institution
Provider Business Practice Location Address Details
Address
14041 Icot Blvd
City
State
Zip
33760-3702
Phone Number
727-479-1800
Fax Number
727-749-1248
person
Provider Business Mailing Address Details
Address
14041 Icot Blvd
City
State
Zip
33760-3702
Phone Number
727-479-1800
Fax Number
727-749-1248
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 10074 (Florida)
Definition
Definition to come...
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