Organization · Type 2 NPI

Blackage, LLC

Prevention Professional · New York, NY

NPI number 1982461380 Active

Practice location

320 Central Park W Unit 18B
New York, NY 10025-7659

Call (916) 779-9212 Map

Mailing address

2414 Campbell Ave
Schenectady, NY 12306-3204

Specialties and licenses

Taxonomy	Code	License
Prevention Professional Primary	405300000X	None listed

Prevention Professional: Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship s…

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NPI record

NPI: 1982461380
Entity type: Organization (Type 2)
Issued: Mar 1, 2024
Last updated: Aug 18, 2025
Status: Active

Other names

<unavail>
Blackage Optimal Wellness · doing business as
On Point Photography · doing business as
One Well Clinic · doing business as
Courteney Geniece Houston · former legal business name
Courteney Geniece Nelson · former legal business name
Blackage Optimal Wellness · other name
God's Court · other name
One Well Clinic · other name

Authorized official

Courteney Geniece Nelson
Owner
(916) 779-9212

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About NPI 1982461380

Blackage, LLC's National Provider Identifier is 1982461380, issued on Mar 1, 2024. The primary taxonomy on file is Prevention Professional (405300000X), and the practice location is in New York, NY. The record was last updated on Aug 18, 2025.