Individual provider · Type 1 NPI

Nickole Antionettia Blackman, PCMHT

Mental Health Counselor · Greenwood, MS

NPI number 1437944352 Active

Practice location

2504 Browning Road 520
Greenwood, MS 38930-6022

Call (662) 453-6211 Map

Fax (662) 451-5897

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6188 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1437944352

Nickole Antionettia Blackman, PCMHT's National Provider Identifier is 1437944352, issued on Apr 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenwood, MS. The record was last updated on Apr 11, 2025.