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Search › Ohio › 101YM0800X

Miricle Blackman

NPI 1154138980 · on the registry since 2024 · sole proprietor

Practice

Address
527 S High St
Columbus, OH 43215
Phone
(614) 227-9444
Organisation at this address
Amethyst, Inc.
National Youth Advocate Program, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
408

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
390200000X
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio