COURTNEY BRIANN BLACKLEDGE (NPI# 1629686381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629686381 |
| Entity Type | Individual |
| Full Name | COURTNEY BRIANN BLACKLEDGE |
| Credential | LCMHCA |
| Practice Address |
110 Premiere Plz Whiteville NC 28472-2522 |
| Mailing Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Practice Telephone | 9105243812 |
| Practice Fax Number | 9102029966 |
| Mailing Telephone | 9103430145 |
| Mailing Fax Number | 9102029966 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A15842 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
A15842 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 209 Peanut Plant Rd, Elizabethtown, NC 283372833 | 9103430145 |
| Street Address |
110 PREMIERE PLZ |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033201223 | New Directions Home Health Care, Inc. | Case Management | 110 Premiere Plz, Whiteville, NC 28472-9145 | 2006-09-28 |
| 1053954719 | Laura Kaitlyn Nye | Social Worker | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2019-10-24 |
| 1700348554 | Coastal Horizons Center, Inc | Community/Behavioral Health | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2019-04-02 |
| 1669933008 | Keshia Sheree Gainey | Counselor | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2019-03-28 |
| 1780142596 | Coastal Horizons Center Inc | Community/Behavioral Health | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2019-03-11 |
| 1326387622 | Primary Health Choice, Inc. | Community/Behavioral Health | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2013-02-06 |
| 1285803981 | New Directions Home Health Care | Psychiatry & Neurology | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2008-02-27 |
| 1952446395 | New Directions Home Health | Case Management | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2007-02-21 |
| 1669517272 | New Directions Home Health | Case Manager/Care Coordinator | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2007-02-21 |
| 1790826451 | New Directions Home Health | Home Health | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205185378 | Shenicka Mccollum | Counselor | 156 Mosley Moore Dr, Whiteville, NC 28472-8647 | 2012-09-05 |
| 1659471928 | Kimberly L. Steed | Counselor | 805 N Franklin St, Suite 8, Whiteville, NC 28472-2703 | 2006-09-25 |
| 1275991150 | Lenzy O'dell Graham | Counselor | 603 S Madison St, Whiteville, NC 28472-4129 | 2016-02-05 |
| 1124496963 | Pinnacle Family Services of North Carolina LLC | Counselor | 800 Jefferson St, Suite 114, Whiteville, NC 28472-3710 | 2015-09-10 |
| 1285046565 | Kayla Bowen | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2014-05-21 |
| 1164775961 | Ethel Dolores Warner | Counselor | 118 E Walter St, Whiteville, NC 28472-4142 | 2012-10-18 |
| 1801146725 | Anajinette Owens | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-09-18 |
| 1336498468 | Erin Bosley Warlick | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2012-09-05 |
| 1245589795 | Carenet, Inc. | Counselor | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2012-08-30 |
| 1669701496 | Allied Behavioral Management, Inc. | Counselor | 603 Pecan Ln, Whiteville, NC 28472-2949 | 2009-12-07 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
Please comment or provide details below to improve the information on COURTNEY BRIANN BLACKLEDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.