Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. WILLIE LARRY BLACKMON
Active
Individual
MR. WILLIE LARRY BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC; CADC; MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5848
IL
101YM0800X
Mental Health Counselor
178-002766
IL
101YP2500X
Professional Counselor
Primary
180.007189
IL
Other
Enumeration date
05/21/2007
Last updated
04/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up