Doctor Name: | HEATHER BLACKMON |
NPI Number: | 1194024570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | MFT1034 |
Business Practice Address: | 3450 Highway 80 W Jackson, MS - 392097201 |
Business Phone Number: | 6013212400 |
Business Fax Number: | 6013212476 |
Mailing Address: | 3450 Highway 80 W, JACKSON |
State: | MS |
Postal Code: | 392097201 |
Phone Number: | 6013212400 |
Fax Number: | 6013212476 |
NPI Enumeration Date: | 03/24/2011 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | MFT1034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |