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Individual

TANIKA BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, BSN, RN

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4978
LA
101YP2500X
Professional Counselor
Primary
4978
LA
101YP2500X
Professional Counselor
85626
TX
163W00000X
Registered Nurse
RN133534
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4978
LPC LICENSE #4978
LA
Enumeration date
10/08/2015
Last updated
06/26/2025
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