Blackbourn, Sheila

Blackbourn, Sheila is an sole proprietor health care provider with primary practice located at 7794 S Golden Bell Dr , Tucson AZ 85747-0088. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Blackbourn, Sheila can be contacted via phone (575) 706-6611.

Contact Information

Primary practice address
7794 S Golden Bell Dr Tucson AZ 85747-0088
Phone: (575) 706-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15846 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X I05261 New Mexico
Behavioral Health & Social Service Providers / School 1041S0200X 317372 New Mexico

Profile Details

NPI number 1891776373
LBN Legal business name Blackbourn, Sheila
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Aug 31st, 2023 - about last year

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 1891776373 NPPES
New Mexico MEDICAID 18256066

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