MINDIE M BLACKSHEAR LPC
NPI 1891442703
Counselor - Mental Health in Demorest, GA

Active since March 10, 2022
196 SCOGGINS DR, DEMOREST, GA 30535(706) 894-3712 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mindie M Blackshear Lpc NPPES

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

MINDIE M BLACKSHEAR LPC (NPI 1891442703) is an individual mental health provider in Demorest, Georgia, licensed in Georgia (LPC012752) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1891442703
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMINDIE M BLACKSHEARCredential: LPC
Location Address196 SCOGGINS DRDemorest, GA 30535-5354
Mailing Address196 Scoggins DrDemorest, GA 30535-5354 · (706) 894-3712
Sole ProprietorYes
Enumeration DateMarch 10, 2022
NPPES CertifiedMarch 8, 2022
NPI 1891442703 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 GA · LPC012752
196 SCOGGINS DR, Demorest, GA 30535

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

Other Providers at the Same Location NPPES 3

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

Registered Nurse (Psychiatric/Mental Health)
196 SCOGGINS DR
DEMOREST, GA 30535
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
196 SCOGGINS DR
DEMOREST, GA 30535
Counselor (Professional)
196 SCOGGINS DR
DEMOREST, GA 30535

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 Mindie Blackshear's NPI number?

The NPI number for Mindie Blackshear is 1891442703. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Mindie Blackshear located?

Mindie Blackshear practices at 196 Scoggins Dr, Demorest, GA 30535. The listed phone number is (706) 894-3712.

What is Mindie Blackshear'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 Mindie Blackshear was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.