Lauren Elizabeth Blake, LLMFT is a
Marriage & Family Therapist based in Grass Lake, Michigan. Lauren Elizabeth Blake is licensed to practice in Michigan (license number 4151001039) and her current practice location is
4769 Norvell Rd, Grass Lake, Michigan. She can be reached at her office (for appointments etc.) via phone at
(678) 897-9796.
NPI number for Lauren Elizabeth Blake is 1306594189 and her current mailing address is 4769 Norvell Rd, Grass Lake, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306594189.
Healthcare Provider's Profile
Full Name | Lauren Elizabeth Blake |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 4769 Norvell Rd, Grass Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306594189
- Provider Enumeration Date: 03/11/2022
- Last Update Date: 11/12/2022
Medical Identifiers
Medical identifiers for Lauren Elizabeth Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306594189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 4151001039 (Michigan) | 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. Lauren Elizabeth 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 |
Lauren Elizabeth Blake, LLMFT 4769 Norvell Rd, Grass Lake, MI 49240-9726 Ph: (678) 897-9796 | Lauren Elizabeth Blake, LLMFT 4769 Norvell Rd, Grass Lake, MI 49240-9726 Ph: (678) 897-9796 |
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