Individual
TANIKA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, BSN, RN
Contact information
Practice address
518 JOEL ST, MINDEN, LA 71055-5206
(318) 268-5330
(318) 377-5868
Mailing address
518 JOEL ST, MINDEN, LA 71055-5206
(318) 268-5330
(318) 377-5868
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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