Charletha Renee Blake, in Akron, OH - Behavior Technician

Charletha Renee Blake, is a Behavior Technician based in Akron, Ohio. Charletha Renee Blake is licensed to practice in * (Not Available) (license number ) and her current practice location is 333 S Main St Ste 607, Akron, Ohio. She can be reached at her office (for appointments etc.) via phone at (330) 400-4204.

NPI number for Charletha Renee Blake is 1821652827 and her current mailing address is 2328 Mill Ln, High Point, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821652827.

Contact Information

	Charletha Renee Blake,
	333 S Main St Ste 607, Akron, OH 44308-1228
	(330) 400-4204
	Not Available

Healthcare Provider's Profile

Full Name	Charletha Renee Blake
Gender	Female
Speciality	Behavior Technician
Location	333 S Main St Ste 607, Akron, Ohio
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1821652827
Provider Enumeration Date: 04/24/2019
Last Update Date: 01/16/2024

Medical Identifiers

Medical identifiers for Charletha Renee Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821652827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P020061 (North Carolina)	Secondary
106S00000X	Behavior Technician	(* (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. Charletha Renee 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
Charletha Renee Blake, 2328 Mill Ln, High Point, NC 27265-9184 Ph: () -	Charletha Renee Blake, 333 S Main St Ste 607, Akron, OH 44308-1228 Ph: (330) 400-4204

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Charletha Renee Blake, - in Akron, OH