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CONNIE FAYE BLACK NPI 1659904647


NPI Information

NPI: 1659904647
Provider Name: CONNIE FAYE BLACK
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1830 E OLIVE RD
PENSACOLA, FL
ZIP 32514
Phone: (850) 473-4461
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Connie Faye Black is a counselor in Pensacola, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Connie Faye Black NPI is 1659904647. 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:

1830 E OLIVE RD
PENSACOLA, FL
ZIP 32514-582
Phone: (850) 473-4461

The enumeration date for this NPI number is 2/18/2020 and was last updated on 2/18/2020.


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
1101Y00000XCounselor19265FLORIDAYes

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

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.