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Timothy Carl Blake

Counselor

725 Highland Ave
Winston Salem , North Carolina 27101-4206

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Image

Timothy Carl Blake

Counselor

725 Highland Ave
Winston Salem , North Carolina 27101-4206

Write a Review Save Call

Timothy Carl Blake

Counselor

725 Highland Ave
Winston Salem , North Carolina 27101-4206

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Counselor

Languages spoken

  • English

Location

725 Highland Ave Winston Salem , North Carolina 27101-4206

First Address

  • Timothy Carl Blake
  • 284 Executive Park Dr Suite 100
  • Concord, NC
  • Zip : 28025-1831
  • Phone :

Second Address

  • Timothy Carl Blake
  • 725 Highland Ave
  • Winston Salem, NC
  • Zip : 27101-4206
  • Phone : (336) 607-8523

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FAQs


Where did Timothy Carl Blake attend graduate school?

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Where did Timothy Carl Blake do his residency?

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Where did Timothy Carl Blake do his fellowship?

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Is Timothy Carl Blake board certified?

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What type of doctor is Timothy Carl Blake

Counselor

In what state does Timothy Carl Blake practice in?

North Carolina

Where is Timothy Carl Blake ’s practice located?

725 Highland Ave , Winston Salem, North Carolina, 27101-4206

What is Timothy Carl Blake ’s gender?

Male

Is Timothy Carl Blake a sole practitioner?

No

Is Timothy Carl Blake accepting new patients?

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What languages does Timothy Carl Blake speak?

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Does Timothy Carl Blake accept insurance?

Yes, Timothy Carl Blake accepts insurance

Does Timothy Carl Blake offers telemedicine?

Timothy Carl Blake has not indicated if he offers telemedicine

What is Timothy Carl Blake ’s professional license number?

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What is Timothy Carl Blake ’s NPI number?

1003044066

Does Timothy Carl Blake have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101Y00000X Counselor

National Provider Identifier

NPI 1003044066
Provider Name Timothy Carl Blake
First Address Concord, NC 28025-1831
Second Address Winston Salem, NC 27101-4206
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/06/2009
Last Update Date 29/06/2009

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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