MR. GEOFFREY BLAKE (NPI# 1730710591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730710591 |
| Entity Type | Individual |
| Full Name | MR. GEOFFREY BLAKE |
| Practice Address |
24682 Chantilly Ln Daphne AL 36526-8730 |
| Practice Telephone | 2515914740 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
17802 | AL | Behavioral Health & Social Service Providers |
| Street Address |
24682 CHANTILLY LN |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-8730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| Find all providers in zip 36526 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309398 | Shaletta Borders | Counselor | 488 Marvin Parker Rd, Ozark, AL 36360-7204 | 2019-04-08 |
| 1194295832 | Joe Mack Bankhead | Counselor | 7199 Beaver Creek Rd, Sulligent, AL 35586-4603 | 2018-11-26 |
| 1447600770 | Kristina Jackson | Counselor | 5160 Dogwood Trl, Eight Mile, AL 36613-8505 | 2016-06-17 |
| 1598120362 | Gregory Smith | Counselor | 2124 Moores Mill Rd, Auburn, AL 36830-8468 | 2015-12-22 |
| 1043696743 | Elaine G. Rasco, Lpc, LLC | Counselor | 4268 Cahaba Heights Ct Ste 190, Vestavia, AL 35243-5711 | 2015-08-04 |
| 1356788913 | Jesse Reece Mitchell | Counselor | 149 Academy Dr, Hamilton, AL 35570-3015 | 2013-05-22 |
| 1508175498 | Betty Jo Penton | Counselor | 103 W Tuskeena St, Wetumpka, AL 36092-2420 | 2010-09-27 |
| 1801114780 | Pine Hill Counseling and Consulting, LLC | Counselor | 600 Boulevard South Sw, Suite 104, Huntsville, AL 35802-2113 | 2010-05-17 |
| 1073845145 | Peggy Sanderford Ponder | Counselor | 2117 University Blvd, Birmingham, AL 35233-3107 | 2010-02-01 |
| 1043456981 | Jacky Beck | Counselor | 1511a Rainbow Dr, Gadsden, AL 35901-5370 | 2008-12-24 |
| Find all providers with the same taxonomy | ||||
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| 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.