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Ms. Shelia Denise Black
Developmental Disabilities Clinic/Center in Greenville, Mississippi
NPI 1003392119

Shelia Denise Black is a Developmental Disabilities Clinic/Center based in Greenville, MS and is specialized in Developmental Disabilities. Shelia Denise Black practices in Greenville, MS. The NPI Number for Shelia Denise Black is 1003392119 and holds a License No. (Mississippi).

The current practice location address for Shelia Denise Black is 564 Cypress Ln Apt 26D, Greenville, MS and can be reached out via phone at 662-347-3616.

Location: 564 Cypress Ln Apt 26D, Greenville, MS, 38701-7425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003392119
Provider Name
Shelia Denise Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
564 Cypress Ln Apt 26D, Greenville, MS, 38701-7425
Phone Number
662-347-3616
Fax Number
Provider Enumeration Date
07/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
564 Cypress Ln Apt 26D
City
Greenville
State
Mississippi
Zip
38701-7425
Phone Number
662-347-3616
Fax Number
person
Provider Business Mailing Address Details
Address
564 Cypress Ln Apt 26D
City
Greenville
State
Mississippi
Zip
38701-7425
Phone Number
662-347-3616
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Mississippi)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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