Dr. Shannon Trice Black, PHD, LPC
Dr. Shannon Trice Black, PHD, LPC is a Mental Health Counselor in Manakin Sabot, Virginia. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 17
- Licensed in
- VA
- In the registry since
- 2015
What do these letters mean?
Practice location Address checks out
1900 Manakin Rd Ste GManakin Sabot, VA 23103-2252
Phone: (804) 305-4642
Fax: (804) 556-3624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 0701003122 (VA) |
|---|
Record details
| NPI number | 1528448271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHD , LPC |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2015 |
| Last updated in NPPES | November 28, 2016 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |