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

Shannon Blake

Individual provider Mental Health Counselor · NPI 1376488049

Shannon Blake is a Mental Health Counselor in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

1004 Montana St
Orlando, FL 32803-2522
Phone: (321) 431-5092
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (FL)

Record details

NPI number1376488049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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