Marci Blackshear, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

7067-C Issued in AR

Legal business name

MARCI BLACKSHEAR, LLC

Practice address

120 W Race Ave Ste 5
Searcy, AR 72143-4237

Phone

(256) 361-5343

NPI assigned

Sep 22, 2017

Last updated

Sep 22, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marci Blackshear, LCSW

Title

Psychotherapist

Phone

(256) 361-5343

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1801305750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 GREENWOOD DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437764",
            "telephone_number": "256-361-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W RACE AVE STE 5",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434237",
            "telephone_number": "256-361-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCI BLACKSHEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "BLACKSHEAR",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "256-361-5343",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "7067-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Main, DPT
• Danish Malik, MD
• Naafiah Khalid Mallick, MD
• Philip Maness, MD
• Samantha Mantione
• Stephanie L. Marlowe, LPC, PH.D
• Eugenia Auxiliadora Marquez Castillo, M.D.
• Catherine Marsee
• Sierra Paige Marsh
• Christopher Mark Marshall, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Searcy, AR
• Providers in Searcy, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.