Active NPIIndividual provider

Shantae Blackwell

Counselor, Mental Health in Sicklerville, New Jersey

NPI Number1265824502
Practice location
1422 Kearsley RD, Sicklerville, NJ 08081-5205
Fax
—
Last updated
February 24, 2015

Shantae Blackwell is a Counselor, Mental Health based in Sicklerville, NJ. Shantae Blackwell practices in Sicklerville, NJ. The NPI Number for Shantae Blackwell is 1265824502. The current practice location address for Shantae Blackwell is 1422 Kearsley RD, Sicklerville, NJ 08081-5205 and can be reached out via phone at 856-308-5891.

Provider Profile Details

NPI Number
1265824502
Provider Name
Shantae Blackwell
Provider Entity Type
Individual
Gender
Female
Address
1422 Kearsley RD, Sicklerville, NJ 08081-5205
Phone Number
856-308-5891
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2015
Last Update Date
February 24, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1422 Kearsley RD
Sicklerville, NJ 08081-5205
Zip
08081-5205
Phone Number
856-308-5891
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
770 Woodlane RD
Westampton, NJ 08060-3804
City
Westampton
State
NJ
Zip
08060-3804
Phone Number
609-267-5928

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Sicklerville, NJ

View all Counselor, Mental Health providers in Sicklerville →

Frequently Asked Questions

What is the NPI number of Shantae Blackwell?

The NPI number of Shantae Blackwell is 1265824502. It was assigned on February 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Shantae Blackwell?

Shantae Blackwell is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Shantae Blackwell practice?

The practice location is 1422 Kearsley RD, Sicklerville, NJ 08081-5205. The office can be reached at 856-308-5891 (phone).

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 1265824502 directly on the NPPES registry website.

Browse related providers