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

Mr. Israel Dennard Blake

Individual provider Pastoral Counselor · NPI 1598500605

Mr. Israel Dennard Blake is a Pastoral Counselor in Thomasville, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

228 Augusta Ave
Thomasville, GA 31792-7003
Phone: (229) 228-7775
Show map & directions

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

Specialties & licences

Religious Nonmedical Practitioner (primary) Taxonomy 374K00000X (GA)
Pastoral Counselor Taxonomy 101YP1600X (GA)

Record details

NPI number1598500605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

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