NICKOLE ANTIONETTIA BLACKMAN PCMHT
NPI 1437944352
Counselor - Mental Health in Greenwood, MS
Active since April 11, 2025
2504 BROWNING ROAD 520, GREENWOOD, MS 38930(662) 453-6211(662) 451-5897 Get Directions Write a Review
About Nickole Antionettia Blackman Pcmht NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKOLE ANTIONETTIA BLACKMAN PCMHT (NPI 1437944352) is an individual mental health provider in Greenwood, Mississippi, licensed in Mississippi (6188) and active in the NPI registry since April 2025.
NPPES Registry Identity
NPI1437944352
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICKOLE ANTIONETTIA BLACKMANCredential: PCMHT
Location Address2504 BROWNING ROAD 520Greenwood, MS 38930-6022
Mailing Address2504 Browning Road 520Greenwood, MS 38930-6022 · (662) 453-6211 · Fax (662) 451-5897
Phone(662) 453-6211
Fax(662) 451-5897
Sole ProprietorNo
Enumeration DateApril 11, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1437944352 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · 6188
2504 BROWNING ROAD 520, Greenwood, MS 38930
Other Names 1
Professional Name (2)Nickole Antionettia Blackman
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.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
GREENWOOD, MS 38930
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437944352, enumerated as an "individual" on April 11, 2025.
The provider is located at 2504 BROWNING ROAD 520 GREENWOOD, MS 38930 and the phone number is (662) 453-6211.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
