Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON TRICE BLACK, PH.D., LPC
Active Sole ProprietorDR. SHANNON TRICE BLACK, PH.D., LPC is a Mental Health Counselor healthcare provider located in MANAKIN SABOT, Virginia. NPI 1528448271 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MANAKIN SABOT, VA
Registration Details
- NPI Number
- 1528448271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2015 (11.141882445003 yrs)
- Last Updated
- Nov 28, 2016
- License
-
0701003122 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 MANAKIN RD STE GMANAKIN SABOT, VA, 231032252Browse VA providers · Browse ZIP 23103
- Phone
- 8043054642
- Fax
- 8045563624
- Primary Specialty
-
Mental Health Counselor
101YM0800X
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.