KENYATTA BLACK COUNSELING LLC - NPI 1275010308

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Kenyatta Black Counseling Llc NPPES

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

KENYATTA BLACK COUNSELING LLC (NPI 1275010308) is a healthcare organization registered as a professional in Arlington, Texas and active in the NPI registry since July 2018. The organization lists Kenyatta Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1275010308

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameKENYATTA BLACK COUNSELING LLC

Location Address3939 W GREEN OAKS BLVD STE 214Arlington, TX 76016-2793

Mailing Address607 Sotogrande StGrand Prairie, TX 75051-4456 · (214) 298-2780 · Fax (214) 380-4965

Phone(469) 490-1442

Organization SubpartNo

Authorized OfficialKenyatta BlackOwner · (469) 490-1442

Enumeration DateJuly 21, 2018

Last NPPES UpdateJuly 8, 20246 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1275010308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

3939 W GREEN OAKS BLVD STE 214, Arlington, TX 76016

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Other Identifiers 1

Medicaid284297301TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, WellPoint.Insurance ›

Other Providers at the Same Location NPPES 7

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

MRS. NATALIE DORINE WINGARD MS

Counselor (Professional)