Keisha Blackshear in West Covina - Marriage & Family Therapist
Keisha Blackshear - NPI 1740449610
Keisha Blackshear is a Marriage & Family Therapist in West Covina, California. Keisha Blackshear practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Keisha Blackshear is 1740449610. The last update date is 2023-06-01.
Keisha Blackshear's current location address is 1840 S Nelson St Apt 23, West Covina, California. You can contact this provider via phone number 6268332588. The mailing address for Keisha Blackshear is 1840 S Nelson St Apt 23, West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keisha Blackshear |
|---|---|
| Address | 1840 S Nelson St Apt 23, West Covina, California |
| Phone Number | 6268332588 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1740449610 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2023-06-01 |
Provider Mailing Address Detail
| Address | 1840 S Nelson St Apt 23 |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917921436 |
| Phone Number | 6268332588 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 90418 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7184 | CA | MEDI-CAL | |
| 7708 | CA | MEDI-CAL | |
| 7368 | CA | MEDI-CAL | |
| 7667 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Keisha Blackshear by the Centers for Medicare & Medicaid Services?
The Keisha Blackshear has been assigned the NPI (National Provider Identifier) 1740449610 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Keisha Blackshear is located?
The Keisha Blackshear is situated at the following address: 1840 S Nelson St Apt 23, West Covina, CA, 917921436.
What is Keisha Blackshear's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keisha Blackshear is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did Keisha Blackshear receive its 1740449610 assignment from the Centers for Medicare & Medicaid Services?
The Keisha Blackshear was assigned its 1740449610 on 2008-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Keisha Blackshear, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Keisha Blackshear, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-01.