PAMELA STUCKEY BLACKMON C.S.A.C.
NPI 1427154699
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since September 15, 2006
5601 EXECUTIVE CENTER DR STE 101, CHARLOTTE, NC 28212(704) 561-0920(704) 561-0851 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Stuckey Blackmon C.s.a.c. NPPES

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

PAMELA STUCKEY BLACKMON C.S.A.C. (NPI 1427154699) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (1879) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1427154699
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePAMELA STUCKEY BLACKMONCredential: C.S.A.C.
Location Address5601 EXECUTIVE CENTER DR STE 101Charlotte, NC 28212-8841
Mailing Address12504 Susanna DrCharlotte, NC 28214-6490 · (704) 562-9414
Fax(704) 561-0851
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1427154699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · 1879
5601 EXECUTIVE CENTER DR STE 101, Charlotte, NC 28212

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
5601 EXECUTIVE CENTER DR STE 101
CHARLOTTE, NC 28212

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 Pamela Blackmon's NPI number?

The NPI number for Pamela Blackmon is 1427154699. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Pamela Blackmon located?

Pamela Blackmon practices at 5601 Executive Center Dr Ste 101, Charlotte, NC 28212. The listed phone number is (704) 561-0920.

What is Pamela Blackmon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Pamela Blackmon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.