Black, Randi
Black, Randi is an sole proprietor health care provider with primary practice located at 1121 N College Park St Ste 200 , Derby KS 67037-3639. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Black, Randi can be contacted via phone (316) 351-8517.Contact Information
Primary practice address
1121 N College Park St Ste 200
Derby KS 67037-3639
Phone: (316) 351-8517
Fax: (316) 260-6494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2626 | Kansas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2812 | Kansas |
Profile Details
| NPI number | 1255731055 |
|---|---|
| LBN Legal business name | Black, Randi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2014 |
| Last updated | Jan 13th, 2019 - about 7 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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