Sandra F Black, LCSAC
Individual provider Active NPI Mental Health Counselor · Ackerman, MS
NPI 1174765481 · NPPES record last updated Jun 7, 2010
Key facts
- NPI
- 1174765481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 100 Old Sturgis Rd
Ackerman, MS 39735-6600 - Phone
- (662) 285-6225
- Fax
- (662) 285-6226
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
100 Old Sturgis Rd
Ackerman, MS 39735-6600
Mailing address
302 N Jackson St
P O Box 1188
Starkville, MS 39759-2504
Phone (662) 323-9261
Other providers in Ackerman, MS
- Ackerman Family Dentistry, PLLC
- Leanna Bryant Baker
- Rachel Barnett
- Melva Barrow
- Blissful Nursing and Mental Health Service
- Blissful Nursing and Mental Health Services, PC
- Jennie Bobo
- Hannah Bowman
- Brandywine Health Services of Mississippi, Inc
All providers in Ackerman, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.