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MILDRED RENEE BLACK
NPI 1154675171
Counselor - Mental Health in Vicksburg, MS

Active since October 29, 2012
3444 WISCONSIN AVE, VICKSBURG, MS 39180(601) 638-0031 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mildred Renee Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILDRED RENEE BLACK (NPI 1154675171) is an individual mental health provider in Vicksburg, Mississippi and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1154675171
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMILDRED RENEE BLACK
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address3444 Wisconsin AveVicksburg, MS 39180-5331
Phone(601) 638-0031
Sole ProprietorNo
Enumeration DateOctober 29, 2012
✔ NPI 1154675171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3444 WISCONSIN AVE, Vicksburg, MS 39180
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY SMITH
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
WARREN YAZOO MENTAL HEALTH SERVICE
Clinic/Center (Mental Health (Including Community Mental Health Center))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
FELICIA WILSON PCMHT
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
HEATHER POTTS
Counselor (Addiction (Substance Use Disorder))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ROSALYN GLASCOE
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ANN NELSON LSW
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MILLICENT LEDBETTER
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MADALENE J BARKSDALE-MAYFIELD
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mildred Black's NPI number?

The NPI number for Mildred Black is 1154675171. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Mildred Black located?

Mildred Black practices at 3444 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (601) 638-0031.

What is Mildred Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mildred Black was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.