| Ashley Blake, Lcsw Llc | |
|
7750 Clayton Rd Ste 107 Richmond Heights MO 63117-1343 | |
| (314) 485-7344 | |
| Not Available |
| Full Name | Ashley Blake, Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7750 Clayton Rd Ste 107, Richmond Heights, Missouri |
| Authorized Official Name and Position | Ashley Blake (ORGANIZER) |
| Authorized Official Contact | 7733151491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Blake, Lcsw Llc 7750 Clayton Rd Ste 107 Richmond Heights MO 63117-1343 Ph: (314) 485-7344 | Ashley Blake, Lcsw Llc 7750 Clayton Rd Ste 107 Richmond Heights MO 63117-1343 Ph: (314) 485-7344 |
| NPI Number | 1942818323 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942818323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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