CONNIE FAYE BLACK (NPI# 1659904647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659904647 |
| Entity Type | Individual |
| Full Name | CONNIE FAYE BLACK |
| Practice Address |
1830 E Olive Rd Pensacola FL 32514-7582 |
| Mailing Address |
2233 E Olive Rd Ste 1 Pensacola FL 32514-6153 |
| Practice Telephone | 8504734461 |
| Mailing Telephone | 8508602714 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 19265 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558813477 | Connie Black | Counselor | 14524 W David Dr, Hammond, LA 70401-1201 | 2016-10-26 |
| Street Address |
1830 E OLIVE RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-7582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669881942 | Katrina Washington | Counselor | 6355 Parakeet Trl, Pensacola, FL 32503-7097 | 2014-08-12 |
| 1689930083 | Lori Nicole Olsen | Counselor | 2828 Villager Cir, Pensacola, FL 32504-7359 | 2012-04-10 |
| 1770889222 | Adult Children & Family Counseling | Counselor | 1318 Dunmire St, Pensacola, FL 32504-6674 | 2011-02-01 |
| 1831314913 | Elizabeth White Pope | Counselor | 1916 Copley Dr, Pensacola, FL 32503-3347 | 2007-04-16 |
| 1588793251 | April Glenn | Counselor | 6201 Chablis Ln, Pensacola, FL 32504-4706 | 2007-03-05 |
| 1245324854 | Regina Bartran Dixon | Counselor | 900 Garden Gate Circle, Pensacola, FL 32504 | 2006-10-03 |
| 1629179577 | Kathleen Renee Haller | Counselor | 9750 Bobwhite Way, Pensacola, FL 32514-2717 | 2006-09-25 |
| 1770687717 | Bradley Wayne Lord | Counselor | 113 Cavalier Dr, Pensacola, FL 32507-2101 | 2006-09-11 |
| 1730102823 | William Miles Dee | Counselor | 6160 North Davis Hwy, Suite 9, Pensacola, FL 32504 | 2006-07-26 |
| 1437785466 | Melissa Morphis | Counselor | 1300 N Palafox St Ste 103, Pensacola, FL 32501-2678 | 2020-03-21 |
| Find all providers in PENSACOLA | ||||
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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.