Provider Demographics
NPI:1386331718
Name:HOWARD, BLAKE
Entity type:Individual
Prefix:MS
First Name:BLAKE
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8207 SAWYER BROWN RD APT B3
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-8524
Mailing Address - Country:US
Mailing Address - Phone:314-540-9926
Mailing Address - Fax:
Practice Address - Street 1:1650 MURFREESBORO RD STE 100
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5088
Practice Address - Country:US
Practice Address - Phone:615-212-8614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health