| Shanise Blackmon Inc | |
|
339 Esther Cir Kannapolis NC 28083-9026 | |
| (704) 224-3260 | |
| Not Available |
| Full Name | Shanise Blackmon Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 339 Esther Cir, Kannapolis, North Carolina |
| Authorized Official Name and Position | Carmen Shanise Blackmon (OWNER/ PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7042243260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanise Blackmon Inc 339 Esther Cir Kannapolis NC 28083-9026 Ph: (704) 224-3260 | Shanise Blackmon Inc 339 Esther Cir Kannapolis NC 28083-9026 Ph: (704) 224-3260 |
| NPI Number | 1538960240 |
|---|---|
| Provider Enumeration Date | 03/20/2025 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538960240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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