Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nickole Antionettia Blackman, PCMHT

Individual provider Mental Health Counselor · NPI 1437944352

Nickole Antionettia Blackman, PCMHT is a Mental Health Counselor in Greenwood, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
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Practice location Address checks out

2504 Browning Road 520
Greenwood, MS 38930-6022
Phone: (662) 453-6211
Fax: (662) 451-5897
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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 6188 (MS)

Record details

NPI number1437944352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCMHT
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

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