COURTNEY BRIANN BLACKLEDGE LCMHCA
NPI 1629686381
Counselor - Mental Health in Whiteville, NC

Q: What is Courtney Blackledge's NPI number?

The NPI number for Courtney Blackledge is 1629686381. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Q: What is Courtney Blackledge's specialty?

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

Active since July 20, 2020

110 PREMIERE PLZ, WHITEVILLE, NC 28472(910) 524-3812(910) 202-9966 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Jul 22, 2020 (2 updates tracked since 2020).

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About Courtney Briann Blackledge Lcmhca NPPES

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

COURTNEY BRIANN BLACKLEDGE LCMHCA (NPI 1629686381) is an individual mental health provider in Whiteville, North Carolina, licensed in North Carolina (A15842) and active in the NPI registry since July 2020. She maintains a secondary practice location in Elizabethtown.

NPPES Registry Identity

NPI1629686381

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCOURTNEY BRIANN BLACKLEDGECredential: LCMHCA

Location Address110 PREMIERE PLZWhiteville, NC 28472-2522

Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 202-9966

Phone(910) 524-3812

Fax(910) 202-9966

Sole ProprietorYes

Enumeration DateJuly 20, 2020

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1629686381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A15842

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A15842 (NC)

110 PREMIERE PLZ, Whiteville, NC 28472

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Secondary Practice Location 1

Location 1209 Peanut Plant RdElizabethtown, NC 28337-2833 · Phone (910) 343-0145

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 14

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

NEW DIRECTIONS HOME HEALTH CARE, INC.

Public Health or Welfare