Blake Malloy
Counselor - Mental Health
About Blake Malloy
Blake Malloy is a male healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1033636519. Blake Malloy received his medical education at OTHER, graduating in 2009.
Their primary practice is located at 13603 80TH CIR N, Maple Grove, Minnesota 55369. Patients can reach the office at (763) 274-3120. Blake Malloy is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Blake Malloy has been NPI-registered since 2017.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1033636519
- Entity Type
- Individual
- First Name
- Blake
- Last Name
- Malloy
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2009
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 13603 80TH CIR N
- City
- Maple Grove
- State
- Minnesota
- ZIP
- 55369-8961
- Country
- United States
- Phone
- (763) 274-3120
- Fax
- (763) 274-3121
Specialty & Taxonomy
- Primary Specialty
- Counselor - Mental Health
- Classification
- Counselor
- Specialization
- Mental Health
- Taxonomy Code
- 101YM0800X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1900 SILVER LAKE RD NW STE 110
- City
- NEW BRIGHTON
- State
- MN
- ZIP
- 551121789
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Blake Malloy's NPI number?
What does Blake Malloy specialize in?
Where is Blake Malloy located?
Does Blake Malloy accept Medicare?
Does Blake Malloy offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Blake Malloy is 1033636519.