LISA BLAKE THERAPY is a mental health (including community mental health center) clinic center in Riverdale, UT. LISA BLAKE THERAPY NPI is 1063124451. The provider is registered as an organization entity type.
The provider's business location address is:
4933 S 1500 W STE 200
RIVERDALE, UT
ZIP 84405-738
Phone: (801) 695-5057
The provider's authorized official is Lisa Blake .
The authorized official title is Owner and has the following contact phone number (801) 695-5057.
The enumeration date for this NPI number is 12/19/2022 and was last updated on 12/19/2022.