Blackmore, Walisha M.
Blackmore, Walisha M. is an sole proprietor health care provider with primary practice located at 2512 Nall St , Port Neches TX 77651-4706. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blackmore, Walisha M. can be contacted via phone (409) 727-5785.Contact Information
Primary practice address
2512 Nall St
Port Neches TX 77651-4706
Phone: (409) 727-5785
Fax: (409) 729-0465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 15296 | Texas |
Profile Details
| NPI number | 1992853063 |
|---|---|
| LBN Legal business name | Blackmore, Walisha M. |
| Credentials | M. ED., LPC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Feb 9th, 2024 - about 9 months 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 | 1992853063 | NPPES |
| Texas | MEDICAID | 0283715-03 |
Popular Providers
-
Thurber, Belinda Starr
2721 Nall St Suite C, Port Neches TX 77651-5222 -
Lopez, Ashley Nicole
3161 Fellswood Ln , Port Neches TX 77651-6006 -
Shoemaker, Lisa L
890 Sierra Dr , Port Neches TX 77651-5607 -
Byrne, Christie A
7980 Anchor Drive Building 500, Port Arthur TX 77642-8285 -
Fults, Devon Nicole
7980 Anchor Drive Building 500, Port Arthur TX 77642-8285 -
King, Melinda Philen
7980 Anchor Dr Bldg 500 , Port Arthur TX 77642-8285 -
Hamel, David W
8700 9Th Ave Suite 106, Port Arthur TX 77642-8030 -
Chism, Amanda
1219 Dallas St , Port Neches TX 77651-2908