SHAPHAUN TAMARA BLACK (NPI# 1326448960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326448960 |
| Entity Type | Individual |
| Full Name | SHAPHAUN TAMARA BLACK |
| Credential | CSAC |
| Practice Address |
1409 East Blvd Suite 201 Charlotte NC 28203-5817 |
| Mailing Address |
Po Box 681282 Charlotte NC 28216-0023 |
| Practice Telephone | 9802257899 |
| Mailing Telephone | 7049658119 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2726 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1409 EAST BLVD SUITE 201 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811010622 | James Clifton Anderson | Counselor | 1409 East Blvd, Suite 100, Charlotte, NC 28203-5817 | 2007-04-08 |
| 1881046738 | Gregory Georgiou | Counselor | 1409 East Blvd, Suite 206, Charlotte, NC 28203-5817 | 2016-07-04 |
| 1134578305 | Bonita Hutchinson and Associates, Pllc | Counselor | 1409 East Blvd, Suite 206, Charlotte, NC 28203-5817 | 2016-06-08 |
| 1124376348 | All Care Links Inc. | Community/Behavioral Health | 1409 East Blvd, Charlotte, NC 28203-5817 | 2012-08-20 |
| 1235492927 | Jamie Lyn Venzian | Counselor | 1409 East Blvd, Charlotte, NC 28203-5817 | 2012-06-19 |
| 1811222813 | Ccs - Cap Services | Home Health | 1409 East Blvd, Suite 102-a, Charlotte, NC 28203-5817 | 2009-10-08 |
| 1396974770 | Carolina Care Solutions, LLC | In Home Supportive Care | 1409 East Blvd, Suite 102-a, Charlotte, NC 28203-5817 | 2009-07-07 |
| 1013157015 | Assured Care | Home Health | 1409 East Blvd, Suite 110, Charlotte, NC 28203-5817 | 2009-03-03 |
| 1811135403 | All Care Links | Home Health | 1409 East Blvd, Charlotte, NC 28203-5817 | 2009-02-04 |
| 1366680951 | All Care Links | Day Training, Developmentally Disabled Services | 1409 East Blvd, Charlotte, NC 28203-5817 | 2009-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.