MICHELLE BLANK (NPI# 1427579507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427579507 |
| Entity Type | Individual |
| Full Name | MICHELLE BLANK |
| Credential | LPC |
| Practice Address |
800 N Main St Ste D Corsicana TX 75110-3053 |
| Mailing Address |
Po Box 747 Terrell TX 75160-0014 |
| Practice Telephone | 9038724680 |
| Practice Fax Number | 9037051215 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
74817 | TX | Behavioral Health & Social Service Providers |
| Street Address |
800 N MAIN ST STE D |
| City | CORSICANA |
| State | TX |
| Zip Code | 75110-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881161750 | Christy Michelle Childers | Licensed Vocational Nurse | 118 S 31st Street, Corsicana, TX 75110 | 2018-10-30 |
| 1609355825 | Vi Truong | Pharmacist | 201 S 15th, Corsicana, TX 75110 | 2018-08-08 |
| 1780174383 | Nanine Marie Dickson | Counselor | 1522 N. 24th Corsicana, Tx, Corsicana, Tx, TX 75110 | 2018-05-18 |
| 1245776897 | Family and Child Guidance Center | Counselor | 317 North 12th, Suite 1, Corsicana, TX 75110 | 2017-01-06 |
| 1033567862 | Matthew Oakden | Physical Therapist | 3201 West Tx-22, Corsicana, TX 75110 | 2016-06-02 |
| 1346682572 | Byron E. Advent | Optometrist | 105 W. 7th Ave, Suite 800, Corsicana, TX 75110 | 2013-07-30 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1528361862 | Pm Management - Corsicana Nc IIi LLC | Skilled Nursing Facility | 3300 West 2nd Ave., Corsicana, TX 75110 | 2010-12-08 |
| 1245551423 | Care-a-lot Home Health Agency, Inc | Home Health | 1725 N. Beaton, Corsicana, TX 75110 | 2010-06-22 |
| 1063735561 | Tina Marie Hill | Physical Medicine & Rehabilitation | 3301 W. Park Row, Corsicana, TX 75110 | 2010-03-11 |
| Find all providers in zip 75110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316903 | Christi Shortes | Counselor | 5024 Fm 304, Corsicana, TX 75109 | 2020-11-06 |
| 1306324884 | Ricky Walter | Counselor | 5301 W Highway 31, Corsicana, TX 75110-9296 | 2018-08-06 |
| 1245776897 | Family and Child Guidance Center | Counselor | 317 North 12th, Suite 1, Corsicana, TX 75110 | 2017-01-06 |
| 1154553295 | Kandi Denise Shaw | Counselor | 2009 Bowie Dr, Corsicana, TX 75110-1515 | 2009-08-21 |
| 1912026824 | Professional Counseling Services | Counselor | 1206 W 12th Ave, Corsicana, TX 75110-7019 | 2007-03-29 |
| 1326173923 | Richard Louis Boyer | Counselor | 122 S 12th St Ste 102, Corsicana, TX 75110-5261 | 2007-02-22 |
| 1225193097 | Mary Ellen Dickerson | Counselor | 2909 W Collin, Corsicana, TX 75110 | 2006-12-22 |
| 1598875684 | Ruth Elaine David | Counselor | 813 North Main Street, Corsicana, TX 75110 | 2006-08-30 |
| 1568497170 | Carol L Metcalfe | Counselor | 508 A North Main Street, Corsicana, TX 75110 | 2006-07-11 |
| 1790735199 | Sharon Ruth Munoz | Counselor | 872 W 2nd Ave, Corsicana, TX 75110-2940 | 2006-05-10 |
| Find all providers in CORSICANA | ||||
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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.