PHYLLIS REGINA BLACK CDP NPI 1407186869

NPI Information

NPI: 1407186869
Provider Name: PHYLLIS REGINA BLACK, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
325 9TH AVE # 359797
SEATTLE, WA
ZIP 98104
Phone: (206) 744-9612
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Phyllis Regina Black, CDP is an addiction (substance use disorder) counselor in Seattle, WA. Phyllis Regina Black, CDP NPI is 1407186869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 9TH AVE # 359797
SEATTLE, WA
ZIP 98104-420
Phone: (206) 744-9612
Fax: (206) 744-9920

The enumeration date for this NPI number is 1/7/2010 and was last updated on 1/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60097360	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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