MEDICARE: ASHLEY BLAKE, LCSW LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1942818323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLEY BLAKE, LCSW LLC

Provider Business Mailing Address
First Line	:	7750 CLAYTON RD STE 107
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-1343
Country	:	US
Telephone Number	:	314-485-7344
Fax Number	:

Provider Business Practice Location Address
First Line	:	7750 CLAYTON RD STE 107
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-1343
Country	:	US
Telephone Number	:	314-485-7344
Fax Number	:

Authorized Official
Title or Position	:	ORGANIZER
Name	:	ASHLEY BLAKE
Credential	:	LCSW
Telephone Number	:	773-315-1491

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	07/21/2020

Similar Medicare Providers

1386247732 — JESSICA GOOD LPC
Practice Location Address:

7750 CLAYTON RD STE 112
RICHMOND HEIGHTS, MO
63117-1343

Practice Phone: 314-484-1196
Practice Fax:

1336714062 — DEBBIE HARRIPERSAD FNP
Practice Location Address:

12017 95TH AVE
SOUTH RICHMOND HILL, NY
11419-1343

Practice Phone: 917-283-8210
Practice Fax:

1265654057 — DR. JENNIFER L. ABEL PH.D.
Practice Location Address:

7750 CLAYTON RD STE 106
SAINT LOUIS, MO
63117-1343

Practice Phone: 314-644-2999
Practice Fax: 314-645-6708

1023259041 — ERICA RENEE BROOKS PLPC
Practice Location Address:

7750 CLAYTON RD STE 103
SAINT LOUIS, MO
63117-1343

Practice Phone: 314-647-7708
Practice Fax:

1437371663 — MR. BRIAN MATTHEW POWELL P.A.
Practice Location Address:

740 S AMY LN , STE 101
HARKER HEIGHTS, TX
76548-1343

Practice Phone: 254-699-8521
Practice Fax: 254-699-8528

1598959389 — BOLA ELEMUREN MD. PA
Practice Location Address:

740 S AMY LN , STE 101
HARKER HEIGHTS, TX
76548-1343

Practice Phone: 254-699-8521
Practice Fax: 254-699-8528

Directions to “ASHLEY BLAKE, LCSW LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.