ELIZABETH GRACE BLAKE BA NPI 1457931586

NPI Information

  • NPI: 1457931586
  • Provider Name: ELIZABETH GRACE BLAKE, BA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 53 DON KNOTTS BLVD
    MORGANTOWN, WV
    ZIP 26508
  • Phone: (304) 284-0025

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NPI Details

Elizabeth Grace Blake, BA is an addiction (substance use disorder) counselor in Morgantown, WV. Elizabeth Grace Blake, BA NPI is 1457931586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

53 DON KNOTTS BLVD
MORGANTOWN, WV
ZIP 26508-838
Phone: (304) 284-0025
Fax: (304) 284-0031

The enumeration date for this NPI number is 4/13/2021 and was last updated on 4/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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