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DR. SHANNON TRICE BLACK PH.D. LPC NPI 1528448271


NPI Information

NPI: 1528448271
Provider Name: DR. SHANNON TRICE BLACK, PH.D., LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1900 MANAKIN RD STE G
MANAKIN SABOT, VA
ZIP 23103
Phone: (804) 305-4642
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DR. Shannon Trice Black, PH.D., LPC is a mental health counselor in Manakin Sabot, VA. DR. Shannon Trice Black, PH.D., LPC NPI is 1528448271. 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:

1900 MANAKIN RD STE G
MANAKIN SABOT, VA
ZIP 23103-252
Phone: (804) 305-4642
Fax: (804) 556-3624

The NPI 1528448271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/8/2015 and was last updated on 11/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health0701003122VIRGINIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.