Individual
SHANTE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1178 BROADWAY FL 3, NEW YORK, NY 10001-5666
(917) 284-9393
(917) 284-9393
Mailing address
1178 BROADWAY FL 3, NEW YORK, NY 10001-5666
(917) 284-9393
(917) 284-9393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
999
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
02/03/2017
Last updated
04/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us