Generra Blake, is a
Counselor - Mental Health based in Blanding, Utah. Generra Blake is licensed to practice in * (Not Available) (license number ) and her current practice location is
735 S 200 W Ste 1, Blanding, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 678-2992.
NPI number for Generra Blake is 1902452782 and her current mailing address is 735 S 200 W Ste 1, Blanding, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902452782.
Healthcare Provider's Profile
Full Name | Generra Blake |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 735 S 200 W Ste 1, Blanding, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902452782
- Provider Enumeration Date: 08/16/2019
- Last Update Date: 08/16/2019
Medical Identifiers
Medical identifiers for Generra Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902452782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Generra Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Generra Blake, 735 S 200 W Ste 1, Blanding, UT 84511-3923 Ph: (435) 678-2992 | Generra Blake, 735 S 200 W Ste 1, Blanding, UT 84511-3923 Ph: (435) 678-2992 |
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