Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Mickia Ticre Blake

Individual provider Mental Health Counselor · NPI 1841813201

Miss. Mickia Ticre Blake is a Mental Health Counselor in Port St Lucie, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

540 NW University Blvd Ste 204
Port St Lucie, FL 34986-2281
Phone: (561) 216-5711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4355 3rd Ave N, St Petersburg, FL 33713-7305 — (908) 783-4403

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH28976

Record details

NPI number1841813201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2020
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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