Active NPIIndividual provider

Laurie C Black, QMHA

Counselor, Mental Health in Eugene, Oregon

NPI Number1144593112
Practice location
1255 Pearl St, Eugene, OR 97401-3570
Fax
541-687-2063
Last updated
February 28, 2017

Laurie C Black, QMHA is a Counselor, Mental Health based in Eugene, OR. Laurie C Black, QMHA holds the professional credentials of QMHA. The NPI number for Laurie C Black, QMHA is 1144593112. The current practice location address is 1255 Pearl St, Eugene, OR 97401-3570 and the office can be reached by phone at 541-687-6983 and by fax at 541-687-2063. The NPI was assigned on February 21, 2012 and the record was last updated in NPPES on February 28, 2017.

●Provider Profile Details

NPI Number
1144593112
Provider Name
Laurie Carol Black
Credential
QMHA
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
February 21, 2012
Last Update Date
February 28, 2017
NPI Status
Active
Other Names
-- Laurie Carol Angus, QMHA (Former Name)

◉Business Practice Location Address

Address
1255 Pearl St
Eugene, OR 97401-3570
City
Eugene
State
Oregon
ZIP
97401-3570
Country
US
Phone Number
541-687-6983
Fax Number
541-687-2063

Get directions →

✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

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

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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 at npiregistry.cms.hhs.gov.

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