Marvin Talmage Black in Jacksonville - Mental Health
Marvin Talmage Black - NPI 1689799355
Marvin Talmage Black is a Mental Health in Jacksonville, Florida. Marvin Talmage Black practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Marvin Talmage Black is 1689799355. The last update date is 2011-07-08.
Marvin Talmage Black's current location address is 11265 Alumni Way, Jacksonville, Florida. You can contact this provider via phone number 9043982020 and fax number 9047242172. The mailing address for Marvin Talmage Black is 11265 Alumni Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Talmage Black |
|---|---|
| Address | 11265 Alumni Way, Jacksonville, Florida |
| Phone Number | 9043982020 |
| Fax Number | 9047242172 |
| Sole Proprietor | N |
| Credentials | MS, LMHC |
NPI Number Detail
| NPI Number | 1689799355 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2011-07-08 |
Provider Mailing Address Detail
| Address | 11265 Alumni Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322466685 |
| Phone Number | 9043982020 |
| Fax Number | 9047242172 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH3241 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 762457300 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marvin Talmage Black?
The Marvin Talmage Black has been issued the NPI (National Provider Identifier) 1689799355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marvin Talmage Black?
The Marvin Talmage Black is physically situated at 11265 Alumni Way, in the city of Jacksonville, state of FL, with the postal code 322466685.
What is Marvin Talmage Black's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marvin Talmage Black is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did Marvin Talmage Black receive its 1689799355 assignment from the Centers for Medicare & Medicaid Services?
The Marvin Talmage Black was assigned its 1689799355 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Marvin Talmage Black most recently updated or revised?
The information pertaining to Marvin Talmage Black, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN