Individual provider · Type 1 NPI

Shannon Blake

Mental Health Counselor · Orlando, FL

NPI number 1376488049 Active

Practice location

1004 Montana St
Orlando, FL 32803-2522

Call (321) 431-5092 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376488049

Shannon Blake's National Provider Identifier is 1376488049, issued on Apr 21, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Apr 21, 2026.