WALISHA M. BLACKMORE M.ED., LPC (NPI# 1649674219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649674219 |
| Entity Type | Organization |
| Organization Name | WALISHA M. BLACKMORE M.ED., LPC |
| Practice Address |
2100 19th St Port Arthur TX 77640-3859 |
| Practice Telephone | 4093442790 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | WALISHA BLACKMORE (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 4093442790 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 15296 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 028371503 | 05 |
| Street Address |
2100 19TH ST |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952787186 | Larneka Lavalais | Counselor | 1 Plaza Sq Ste 103, Port Arthur, TX 77642-5537 | 2015-08-11 |
| 1306998232 | Sean Edward Franklin | Counselor | 8700 9th Ave Ste 105, Port Arthur, TX 77642-8076 | 2007-01-18 |
| 1316909799 | Samaritan Counseling Center of Southeast Texas | Counselor | 7980 Anchor Dr Bldg 500, Port Arthur, TX 77642-8285 | 2006-04-03 |
| 1316201288 | Maria E Gutierrez | Counselor | 7980 Anchor Drive, Building 500, Port Arthur, TX 77642-8285 | 2012-06-26 |
| 1306036637 | Melinda Philen King | Counselor | 7980 Anchor Dr Bldg 500, Port Arthur, TX 77642-8285 | 2007-08-01 |
| 1588784763 | Christie A Byrne | Counselor | 7980 Anchor Drive, Building 500, Port Arthur, TX 77642-8285 | 2007-03-30 |
| 1780761973 | Paul Dean Alexander | Counselor | 7980 Anchor Dr Bldg 500, Port Arthur, TX 77642-8285 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558115 | Kenshara Marie Cravens | Counselor | 7825 Diamond Oak Dr, Texas City, TX 77591-2545 | 2020-11-08 |
| 1144821836 | Jonathan Rea | Counselor | 1408b Stonehollow Dr, Kingwood, TX 77339-2276 | 2020-11-08 |
| 1881295806 | Erin Hope Ellett | Counselor | 360 N West St, Bertram, TX 78605-4321 | 2020-11-05 |
| 1366043432 | Teri Hensley Marrow | Counselor | 4922 Cedar Spring Dr, Missouri City, TX 77459-4088 | 2020-11-05 |
| 1205437373 | Florida Nyanpinga | Counselor | 12243 Valley Lodge Pkwy, Humble, TX 77346-3667 | 2020-11-05 |
| 1750982898 | Michelle Rittenour | Counselor | 3150 Garrison Rd Apt 517, Corinth, TX 76210-1814 | 2020-11-05 |
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1043811441 | Lydia Neighbors | Counselor | 100 S. Texas St, Tioga, TX 76271 | 2020-11-03 |
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
Please comment or provide details below to improve the information on WALISHA M. BLACKMORE M.ED., LPC.
| 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.