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

Timothy Carl Blake

Individual provider Counselor · NPI 1003044066

Timothy Carl Blake is a Counselor in Winston Salem, North Carolina. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

725 Highland Ave
Winston Salem, NC 27101-4206
Phone: (336) 607-8523
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1003044066
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESJune 29, 2009

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