MRS. CRYSTAL S BLAKE (NPI# 1679896724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679896724 |
Entity Type | Individual |
Full Name | MRS. CRYSTAL S BLAKE |
Credential | PC |
Practice Address |
3413 Rosedale Rd Cleveland Heights OH 44112-3010 |
Practice Telephone | 2165338846 |
Mailing Telephone | 2165338846 |
Enumeration Date | 2010-03-03 |
Last Update Date | 2010-03-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.0501154 | OH | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730794348 | Crystal Lynn Blake | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-10 |
Street Address |
3413 ROSEDALE RD |
City | CLEVELAND HEIGHTS |
State | OH |
Zip Code | 44112-3010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
1437618048 | Paula Williams Mays | Social Worker | 15998 Henley Road, East Cleveland, OH 44112 | 2019-03-14 |
1811403801 | Evelyn Lynette Bailey | Counselor | Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 | 2017-12-28 |
1083140800 | Tashel Miller | Nurse's Aide | 1254 Carlson Rd, Cleveland, OH 44112 | 2017-05-11 |
1629518675 | Ebony Stephens | Counselor | 13524 Mann Ave, East Cleveland, OH 44112 | 2017-02-24 |
1053861708 | Quality Home Care | Home Health | 1252 E. 134th St, East Cleveland, OH 44112 | 2016-10-06 |
1780137463 | Lavinia Pope | Registered Nurse | 885 Eloise Dr, Cleveland Heights, OH 44112 | 2016-07-28 |
1891147781 | Mary L Gates | Technician | 16156 Forest Hills Blvd, East Cleveland, OH 44112 | 2016-07-05 |
1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
1467836791 | Sherri Mcarthur | Registered Nurse | 939 Dresden Rd, Cleveland Heights, OH 44112 | 2015-07-16 |
Find all providers in zip 44112 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912520917 | Jessica Chiasson Mcdonough | Counselor | 3243 E Overlook Rd, Cleveland Heights, OH 44118-2113 | 2020-05-26 |
1467003392 | Stephen Love | Counselor | 2490 Lee Blvd Ste 203, Cleveland Heights, OH 44118-1269 | 2019-09-23 |
1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
1225569833 | Katelyn Chandler | Counselor | 3396 Dellwood Rd, Cleveland Heights, OH 44118-3405 | 2017-03-24 |
1912332214 | Erika Latrice Harper | Counselor | 1071 Hillstone Rd, Cleveland Heights, OH 44121-2425 | 2013-09-05 |
1366741670 | Hanneberit Hahnemann | Counselor | 2397 Queenston Rd, Cleveland Heights, OH 44118-3611 | 2011-03-25 |
1063710895 | Better Days Counseling | Counselor | 3579 Harvey Rd, Cleveland Heights, OH 44118-2213 | 2011-03-02 |
1356555023 | Francesca Bondi | Counselor | 3386 Clarendon Rd, Cleveland Heights, OH 44118-4254 | 2007-05-10 |
1245716646 | Tayanna I Jackson | Counselor | 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 | 2018-07-18 |
1407342330 | Tamara Barkley | Counselor | 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 | 2018-07-03 |
Find all providers in CLEVELAND HEIGHTS |
City | CLEVELAND HEIGHTS |
Zip Code | 44112 |
Please comment or provide details below to improve the information on MRS. CRYSTAL S BLAKE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.