Active NPIIndividual provider

Mrs. Leeandra R Black, MA, QMHP

Marriage & Family Therapist in Eugene, Oregon

NPI Number1336467265
Practice location
10 Shelton Mcmurphey Blvd, Eugene, OR 97401
Fax
888-975-0250
Last updated
July 27, 2018

Mrs. Leeandra R Black, MA, QMHP is a Marriage & Family Therapist based in Eugene, OR. Mrs. Leeandra R Black, MA, QMHP holds the professional credentials of MA, QMHP. The NPI number for Mrs. Leeandra R Black, MA, QMHP is 1336467265. The current practice location address is 10 Shelton Mcmurphey Blvd, Eugene, OR 97401 and the office can be reached by phone at 541-485-2711 and by fax at 888-975-0250. The NPI was assigned on May 17, 2010 and the record was last updated in NPPES on July 27, 2018.

●Provider Profile Details

NPI Number
1336467265
Provider Name
Leeandra Raylene Black
Credential
MA, QMHP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Enumeration Date
May 17, 2010
Last Update Date
July 27, 2018
NPI Status
Active

◉Business Practice Location Address

Address
10 Shelton Mcmurphey Blvd
Eugene, OR 97401
City
Eugene
State
Oregon
ZIP
97401
Country
US
Phone Number
541-485-2711
Fax Number
888-975-0250

Get directions →

✉Business Mailing Address

Address
10 Shelton Mcmurphey Blvd
Eugene, OR 97401-4928
City
Eugene
State
OR
ZIP
97401-4928
Phone Number
541-485-2711
Fax Number
888-975-0250

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Marriage & Family Therapist106H00000XYes——

#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 Mrs. Leeandra R Black, MA, QMHP?

The NPI number of Mrs. Leeandra R Black, MA, QMHP is 1336467265. It was assigned on May 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Leeandra R Black, MA, QMHP?

Mrs. Leeandra R Black, MA, QMHP is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X).

Where does Mrs. Leeandra R Black, MA, QMHP practice?

The practice location is 10 Shelton Mcmurphey Blvd, Eugene, OR 97401. The office can be reached at 541-485-2711 (phone) or 888-975-0250 (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 1336467265 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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