Black, Cheryl Ann
Black, Cheryl Ann is an sole proprietor health care provider with primary practice located at 1890 Vista Sierra Ct , Las Cruces NM 88005-4653. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Black, Cheryl Ann can be contacted via phone (575) 639-4200.Contact Information
Primary practice address
1890 Vista Sierra Ct
Las Cruces NM 88005-4653
Phone: (575) 639-4200
Fax: (575) 523-7106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 647 | New Mexico |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 647 | New Mexico |
Profile Details
| NPI number | 1174650477 |
|---|---|
| LBN Legal business name | Black, Cheryl Ann |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 24th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174650477 | NPPES |
| New Mexico | MEDICAID | J1735 |
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