- Practice location
- 1255 Pearl St, Eugene, OR 97401-3570
- Phone
- 541-687-6983
- Fax
- 541-687-2063
- Last updated
- February 28, 2017
Laurie Carol Black is a Counselor, Mental Health based in Eugene, OR. Laurie Carol Black practices in Eugene, OR and has the professional credentials of QMHA. The NPI Number for Laurie Carol Black is 1144593112. The current practice location address for Laurie Carol Black is 1255 Pearl St, Eugene, OR 97401-3570 and can be reached out via phone at 541-687-6983 and via fax at 541-687-2063.
Provider Profile Details
- NPI Number
- 1144593112
- Provider Name
- Laurie Carol Black
- Credential
- QMHA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1255 Pearl St, Eugene, OR 97401-3570
- Phone Number
- 541-687-6983
- Fax Number
- 541-687-2063
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Other Names
- -- Laurie Carol Angus, QMHA (Former Name)
- Provider Enumeration Date
- February 21, 2012
- Last Update Date
- February 28, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1255 Pearl St
Eugene, OR 97401-3570 - City
- Eugene
- State
- Oregon
- Zip
- 97401-3570
- Phone Number
- 541-687-6983
- Fax Number
- 541-687-2063
Provider Business Mailing Address Details
- Address
- 1255 Pearl St
Eugene, OR 97401-3570 - City
- Eugene
- State
- OR
- Zip
- 97401-3570
- Phone Number
- 541-687-6983
- Fax Number
- 541-687-2063
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Agnes M BachmeierCounselor, Mental Health · NPI 1174700637
- Aiden Brahn-Perrot, QMHACounselor, Mental Health · NPI 1053158063
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Frequently Asked Questions
What is the NPI number of Laurie C Black, QMHA?
The NPI number of Laurie C Black, QMHA is 1144593112. It was assigned on February 21, 2012 and is currently active in the NPPES registry.
What is the specialty of Laurie C Black, QMHA?
Laurie C Black, QMHA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Laurie C Black, QMHA practice?
The practice location is 1255 Pearl St, Eugene, OR 97401-3570. The office can be reached at 541-687-6983 (phone) or 541-687-2063 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144593112 directly on the NPPES registry website.