LIBBY BLACK MSPLPC NPI 1811549512

NPI Information

NPI: 1811549512
Provider Name: LIBBY BLACK, MS,PLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1300 E BRADFORD PKWY
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 761-5000
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Libby Black, MS,PLPC is a professional counselor in Springfield, MO. Libby Black, MS,PLPC NPI is 1811549512. 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:

1300 E BRADFORD PKWY
SPRINGFIELD, MO
ZIP 65804-294
Phone: (417) 761-5000

The enumeration date for this NPI number is 7/12/2019 and was last updated on 8/3/2022.

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	101YP2500X	Counselor	Professional	A1906080	ARKANSAS	No
2	101YP2500X	Counselor	Professional	2022028922	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	ARKANSAS

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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