Dr Shannon Trice Black, PHD, LPC is a
Counselor - Mental Health based in Manakin Sabot, Virginia. Dr Shannon Trice Black is licensed to practice in Virginia (license number 0701003122) and her current practice location is
1900 Manakin Rd Ste G, Manakin Sabot, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 305-4642.
NPI number for Dr Shannon Trice Black is 1528448271 and her current mailing address is 1900 Manakin Rd, Suite G, Manakin Sabot, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528448271.
Healthcare Provider's Profile
Full Name | Dr Shannon Trice Black |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 1900 Manakin Rd Ste G, Manakin Sabot, Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528448271
- Provider Enumeration Date: 06/08/2015
- Last Update Date: 11/28/2016
Medical Identifiers
Medical identifiers for Dr Shannon Trice Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528448271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0701003122 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shannon Trice Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shannon Trice Black, PHD, LPC 1900 Manakin Rd, Suite G, Manakin Sabot, VA 23103-2252 Ph: (804) 305-4642 | Dr Shannon Trice Black, PHD, LPC 1900 Manakin Rd Ste G, Manakin Sabot, VA 23103-2252 Ph: (804) 305-4642 |
Reviews and Comments