Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS DAWN BLACK
Active Sole ProprietorALEXIS DAWN BLACK is a Counselor healthcare provider located in CHARLESTON, Illinois. NPI 1588315113 is currently active in the NPPES registry. Verify at CMS.
Counselor · CHARLESTON, IL
Registration Details
- NPI Number
- 1588315113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2022 (4.5535822650785 yrs)
- Last Updated
- Jan 14, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1836 VICTORIA LNCHARLESTON, IL, 619202964Browse IL providers · Browse ZIP 61920
- Phone
- 2175088080
- Fax
- 2175122288
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in CHARLESTON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL WARNER | MS.ED, LCPC, CADC | 1972662351 |
| LINDSAY PAIGE WILSON | LCPC | 1942865696 |
| JOHN H BULTHOUSE JR. | — | 1184210791 |
| NORRIANNA BARRON HAYES | — | 1710638234 |
| JACOB TAGE PEARSON | MS | 1871379230 |
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.