IndividualActive
Austen Black, CPHT, CHW
NPI 1821986811 · Community Health Worker · Marion, IN
Provider details
- NPI number
- 1821986811
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- CPHT, CHW
- Sex
- Male
- Sole proprietor
- Yes
- License
- R-26201001 (HI)
Specialties & taxonomies
Other Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
2558 E 450 N
Marion, IN 46952-9679
Phone: (765) 661-3733
Approximate (ZIP-level) locationGet directions
Mailing address
2558 E 450 N
Marion, IN 46952-9679
Registry dates
- Enumerated
- 2025-06-26
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.