| Blake & Blythe, Llc | |
|
1103 Cherry St Monroe NC 28110-3103 | |
| (704) 807-6769 | |
| Not Available |
| Full Name | Blake & Blythe, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1103 Cherry St, Monroe, North Carolina |
| Authorized Official Name and Position | Jonathan Tucker (CEO/OWNER) |
| Authorized Official Contact | 7048076769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake & Blythe, Llc 1103 Cherry St Monroe NC 28110-3103 Ph: () - | Blake & Blythe, Llc 1103 Cherry St Monroe NC 28110-3103 Ph: (704) 807-6769 |
| NPI Number | 1821831686 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821831686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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