Provider Demographics
NPI:1598521759
Name:CATHERINE M. BLAKE, LLC
Entity Type:Organization
Organization Name:CATHERINE M. BLAKE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MACDONALD
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-464-9803
Mailing Address - Street 1:10960 W 65TH WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-2717
Mailing Address - Country:US
Mailing Address - Phone:303-464-9803
Mailing Address - Fax:
Practice Address - Street 1:10960 W 65TH WAY
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-2717
Practice Address - Country:US
Practice Address - Phone:303-464-9803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health