| Doctor Name: | TOMEKIA SHERIE BLACKMON |
| NPI Number: | 1336411297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS |
| License Number: | |
| Business Practice Address: | 1108 A Kingold Blvd Snow Hill, NC - 285809515 |
| Business Phone Number: | 2527476570 |
| Business Fax Number: | 2527475496 |
| Mailing Address: | 55 Patrick Dr., SNOW HILL |
| State: | NC |
| Postal Code: | 285809515 |
| Phone Number: | 2523272365 |
| Fax Number: | 2527475496 |
| NPI Enumeration Date: | 02/07/2012 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |