Mr Derek J Blake, MS - Counselor in Sarasota, FL

Mr Derek J Blake, MS is a Counselor - Mental Health based in Sarasota, Florida. Mr Derek J Blake is licensed to practice in * (Not Available) (license number ) and his current practice location is 3651 Country Place Blvd, Sarasota, Florida. He can be reached at his office (for appointments etc.) via phone at (941) 726-9114.

NPI number for Mr Derek J Blake is 1891553012 and his current mailing address is 3651 Country Place Blvd, Sarasota, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891553012.

Contact Information

Mr Derek J Blake, MS
3651 Country Place Blvd,
Sarasota, FL 34233-2115
(941) 726-9114
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Derek J Blake
GenderMale
SpecialityCounselor - Mental Health
Location3651 Country Place Blvd, Sarasota, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891553012
  • Provider Enumeration Date: 03/12/2024
  • Last Update Date: 03/12/2024

Medical Identifiers

Medical identifiers for Mr Derek J Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891553012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - 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. Mr Derek J 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 AddressPractice Location Address
Mr Derek J Blake, MS
3651 Country Place Blvd,
Sarasota, FL 34233-2115

Ph: (941) 726-9114
Mr Derek J Blake, MS
3651 Country Place Blvd,
Sarasota, FL 34233-2115

Ph: (941) 726-9114

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