Katie Linn Kelly Black, LPC - Counselor in Jackson, TN

Katie Linn Kelly Black, LPC is a Counselor - Professional based in Jackson, Tennessee. Katie Linn Kelly Black is licensed to practice in Tennessee (license number 6968) and her current practice location is 650 Ashport Rd, Jackson, Tennessee. She can be reached at her office (for appointments etc.) via phone at (731) 431-5069.

NPI number for Katie Linn Kelly Black is 1588426803 and her current mailing address is 650 Ashport Rd, Jackson, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588426803.

Contact Information

Katie Linn Kelly Black, LPC
650 Ashport Rd,
Jackson, TN 38305-7327
(731) 431-5069
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKatie Linn Kelly Black
GenderFemale
SpecialityCounselor - Professional
Location650 Ashport Rd, Jackson, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588426803
  • Provider Enumeration Date: 01/24/2024
  • Last Update Date: 02/02/2024

Medical Identifiers

Medical identifiers for Katie Linn Kelly Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588426803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 6968 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Linn Kelly Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie Linn Kelly Black, LPC
650 Ashport Rd,
Jackson, TN 38305-7327

Ph: (731) 431-5069
Katie Linn Kelly Black, LPC
650 Ashport Rd,
Jackson, TN 38305-7327

Ph: (731) 431-5069

Reviews and Comments


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