Kathy R Blackman
Organization Active NPI Point of Service · Ball, LA
NPI 1457529349 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1457529349
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- License
- 993 (LA)
- Legal business name
- KATHY R BLACKMAN
- Practice address
- 902 Shanghai Rd
Ball, LA 71405-3348 - Phone
- (318) 640-0701
- Fax
- (318) 445-6503
- NPI assigned
- Feb 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathy R. Blackman, L.C.S.W.
- Title
- Owner/Counselor
- Phone
- (318) 640-0701
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 993 | LA | Yes |
Addresses
Primary practice location
902 Shanghai Rd
Ball, LA 71405-3348
Mailing address
902 Shanghai Rd
Ball, LA 71405-3348
Phone (318) 640-0701
Other names
- Compassionate Counseling Center
Other providers in Ball, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. 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.