Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIA LAQUAN BLAKE
Active Sole ProprietorDIA LAQUAN BLAKE is a Community/Behavioral Health healthcare provider located in BEREA, Ohio. NPI 1417609090 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BEREA, OH
Registration Details
- NPI Number
- 1417609090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2022 (4.557831427361 yrs)
- Last Updated
- Jan 25, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
398 W BAGLEY RDBEREA, OH, 440171369Browse OH providers · Browse ZIP 44017
- Phone
- 2163400011
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in BEREA, OH
| Name | Credential | NPI |
|---|---|---|
| CHANTILLE UNIQUE JACKSON | MSW, LSW | 1578824447 |
| SHALITA MONIQUE YOUNG | QMHS BA | 1467944835 |
| EURIEL MERRICK | PST AIT MA | 1407349079 |
| COURTNEY VOLPE | QMHS BA | 1194218172 |
| WILMARY SAEZ | QMHS BA | 1093209439 |
| CAROLLEE KEPLER | QMHS 3YRS | 1871076570 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.