Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDI BLACK
Active Sole ProprietorMarriage & Family Therapist · DERBY, KS
Registration Details
- NPI Number
- 1255731055
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2014 (11.657445901686 yrs)
- Last Updated
- Jan 13, 2019
- Licenses
-
2626 (KS)2812 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1121 N COLLEGE PARK ST STE 200DERBY, KS, 670373639Browse KS providers · Browse ZIP 67037
- Phone
- 3163518517
- Fax
- 3162606494
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in DERBY, KS
| Name | Credential | NPI |
|---|---|---|
| AMY MEEK | MS, LCMFT | 1144215278 |
| AMBER HARRIS | LCMFT | 1316971997 |
| MRS. MALLORY LYNN BAUM | LMFT | 1356598486 |
| TY KASPER | LMFT | 1548576267 |
| MRS. CRISTINETTE LIKIARDOPOULOS | T-LMFT | 1346641636 |
| CYNTHIA S GEORGE | — | 1396142030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.