Black, Matthew A.

Black, Matthew A. is an individual health care provider with primary practice located at 601 Cumberland St , Chattanooga TN 37404-1922. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Black, Matthew A. can be contacted via phone (423) 266-6751.

Contact Information

Primary practice address
601 Cumberland St Chattanooga TN 37404-1922
Phone: (423) 266-6751
Fax: (423) 763-4662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC1809 Tennessee

Profile Details

NPI number 1346395175
LBN Legal business name Black, Matthew A.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 23rd, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346395175 NPPES
Tennessee Other 5441670 TENNCARE

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