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

Mr. Geoffrey Blake

Individual provider Pastoral Counselor · NPI 1730710591

Mr. Geoffrey Blake is a Pastoral Counselor in Daphne, Alabama. Licensed in Alabama. Registered with an NPI since 2020.

Licensed in
AL
In the registry since
2020
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Practice location Address checks out

24682 Chantilly Ln
Daphne, AL 36526-8730
Phone: (251) 591-4740
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Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence 17802 (AL)

Record details

NPI number1730710591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address24682 Chantilly Ln, Daphne, AL 36526-8730

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